| Entity Name: | FLORIDA TELEMED ASSOCIATES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Apr 2020 (5 years ago) |
| Document Number: | L20000109874 |
| FEI/EIN Number | 85-0838089 |
| Address: | 1701 SE HILLMOOR DRIVE, PORT SAINT LUCIE, FL, 34952, US |
| Mail Address: | P.O. BOX 2636, NORTH BABYLON, NY, 11703, US |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275156986 | 2020-05-28 | 2020-05-28 | PO BOX 880623, PORT SAINT LUCIE, FL, 349880623, US | 1701 SE HILLMOOR DR, PORT SAINT LUCIE, FL, 349527552, US | |||||||||||||
|
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| Phone | +1 631-983-7421 |
Authorized person
| Name | SAJAN VARGHESE |
| Role | OWNER |
| Phone | 6319837421 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FL PATEL LAW PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| VARGHESE SAJAN TDR. | Manager | 1701 SE HILLMOOR DRIVE, PORT SAINT LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-04 | 1701 SE HILLMOOR DRIVE, PORT SAINT LUCIE, FL 34952 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-03-11 |
| Florida Limited Liability | 2020-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
