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MD PSYCHIATRY CONSULTANT L.L.C

Company Details

Entity Name: MD PSYCHIATRY CONSULTANT L.L.C
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 28 Apr 2022 (3 years ago)
Document Number: L22000202644
FEI/EIN Number 88-2895434
Address: 304 INDIAN TRACE, #533, WESTON, FL 33326
Mail Address: 304 INDIAN TRACE, #533, WESTON, FL 33326
ZIP code: 33326
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336843713 2023-03-29 2023-03-29 2813 EXECUTIVE PARK DR STE 126, WESTON, FL, 333313603, US 2813 EXECUTIVE PARK DR STE 126, WESTON, FL, 333313603, US

Contacts

Phone +1 954-614-2484

Authorized person

Name DR. MARIA C DE POMBO
Role ADMINISTRATOR
Phone 9546142484

Taxonomy

Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
Is Primary Yes

Agent

Name Role Address
DE POMBO, MARIA C Agent 304 INDIAN TRACE, #533, WESTON, FL 33326

Manager

Name Role Address
DE POMBO, MARIA C, DR Manager 304 INDIAN TRACE #533, WESTON, FL 33326

Documents

Name Date
ANNUAL REPORT 2024-04-12
ANNUAL REPORT 2023-04-28
Florida Limited Liability 2022-04-28

Date of last update: 12 Feb 2025

Sources: Florida Department of State