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MDLT PHYSICIAN SERVICES LLC - Florida Company Profile

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Company Details

Entity Name: MDLT PHYSICIAN SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Sep 2021 (4 years ago)
Document Number: L21000392848
FEI/EIN Number 87-2482987
Address: 27327 SW 133RD CT, HOMESTEAD, FL, 33032
Mail Address: 27327 SW 133RD CT, HOMESTEAD, FL, 33032
ZIP code: 33032
City: Homestead
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DE LA TORRE MARIA E Authorized Member 27327 SW 133RD CT, HOMESTEAD, FL, 33032
DE LA TORRE MARIA E Agent 27327 SW 133RD CT, HOMESTEAD, FL, 33032

National Provider Identifier

NPI Number:
1467139196
Certification Date:
2023-07-04

Authorized Person:

Name:
MARIA EUGENIA DE LA TORRE
Role:
AMBR
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2025-01-19
ANNUAL REPORT 2024-02-26
ANNUAL REPORT 2023-03-28
ANNUAL REPORT 2022-03-02
Florida Limited Liability 2021-09-02

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Date of last update: 03 Aug 2025

Sources: Florida Department of State