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