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 |
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
RAHMAN RIAZ | Agent | 646 HILLS BLVD, PORT ORANGE, FL, 32127 |
Name | Role | Address |
---|---|---|
RAHMAN RIAZ | Manager | 646 HILLS BLVD, PORT ORANGE, FL, 32127 |
Name | Role | Address |
---|---|---|
Riaz Nagina | Auth | 646 Hills Blvd, Port Orange, FL, 32127 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2022-02-28 | RAHMAN, RIAZ | No data |
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