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HEALTHCARE SPECIALISTS OF FLORIDA PLLC

Company Details

Entity Name: HEALTHCARE SPECIALISTS OF FLORIDA PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Apr 2021 (4 years ago)
Document Number: L21000180640
FEI/EIN Number 86-3603342
Address: 646 HILLS BLVD, PORT ORANGE, FL, 32127
Mail Address: 646 HILLS BLVD, PORT ORANGE, FL, 32127
ZIP code: 32127
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235704065 2021-05-24 2021-05-24 646 HILLS BLVD, PORT ORANGE, FL, 321272902, US 575 N CLYDE MORRIS BLVD STE A, DAYTONA BEACH, FL, 321142323, US

Contacts

Phone +1 321-443-9924
Phone +1 321-355-7377

Authorized person

Name RIAZ RAHMAN
Role CEO
Phone 3214439924

Taxonomy

Taxonomy Code 2084P0805X - Geriatric Psychiatry Physician
Is Primary Yes

Agent

Name Role Address
RAHMAN RIAZ Agent 646 HILLS BLVD, PORT ORANGE, FL, 32127

Manager

Name Role Address
RAHMAN RIAZ Manager 646 HILLS BLVD, PORT ORANGE, FL, 32127

Auth

Name Role Address
Riaz Nagina Auth 646 Hills Blvd, Port Orange, FL, 32127

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-02-28 RAHMAN, RIAZ No data

Documents

Name Date
ANNUAL REPORT 2024-03-17
ANNUAL REPORT 2023-03-20
ANNUAL REPORT 2022-02-28
Florida Limited Liability 2021-04-19

Date of last update: 01 Feb 2025

Sources: Florida Department of State