| Entity Name: | FLORIDIAN PHYSICIANS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Dec 2019 (5 years ago) |
| Document Number: | L19000306088 |
| FEI/EIN Number | 84-4608309 |
| Address: | 4960 SW 72ND AVE, SUITE 206, MIAMI, FL 33155 UN |
| Mail Address: | 4960 SW 72ND AVE, SUITE 206, MIAMI, FL 33155 UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235756297 | 2020-06-25 | 2020-06-25 | 4960 SW 72ND AVE STE 206, MIAMI, FL, 331555549, US | 4960 SW 72ND AVE STE 206, MIAMI, FL, 331555549, US | |||||||||||||
|
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| Phone | +1 305-790-2527 |
Authorized person
| Name | MR. NICHOLAS RENE VALVERDE |
| Role | P |
| Phone | 3057902527 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BERTRAN, EDUARDO | Agent | 4960 SW 72ND AVE, SUITE 206, MIAMI, FL 33155 |
| Name | Role | Address |
|---|---|---|
| BERTRAN, EDUARDO | Manager | 4960 SW 72ND AVE, SUITE 206, MIAMI, FL 33155 UN |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-14 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-03-19 |
| Florida Limited Liability | 2019-12-16 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
