| Entity Name: | HEALING OWL MEDICAL PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Feb 2022 (3 years ago) |
| Document Number: | L22000079857 |
| FEI/EIN Number | 88-1004858 |
| Address: | 19308 SW 77TH PLACE, CUTLER BAY, FL 33157 |
| Mail Address: | 19308 SW 77TH PLACE, CUTLER BAY, FL 33157 |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902507577 | 2023-03-13 | 2023-03-13 | 19308 SW 77TH PL, CUTLER BAY, FL, 331576248, US | 19308 SW 77TH PL, CUTLER BAY, FL, 331576248, US | |||||||||||||
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| Phone | +1 786-447-7415 |
Authorized person
| Name | DR. SOROUSH AGHIGH |
| Role | PRESIDENT |
| Phone | 7864477415 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| THE LAW OFFICES OF MAX A. ADAMS, ESQ., PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| AGHIGH, SOROUSH | Manager | 19308 SW 77TH PL, CUTLER BAY, FL 33157 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000027885 | SOROUSH AGHIGH | ACTIVE | 2022-03-03 | 2027-12-31 | No data | 19308 SW 77TH PL, CUTLER BAY, FL, 33157 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-19 |
| Florida Limited Liability | 2022-02-17 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
