| Entity Name: | DELRAY INJURY CENTER, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Jul 2022 (2 years ago) |
| Document Number: | L22000335791 |
| FEI/EIN Number | 88-3496931 |
| Address: | 7060 TAFT ST., HOLLYWOOD, FL 33024 |
| Mail Address: | 7060 TAFT ST, HOLLYWOOD, FL 33024 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750005658 | 2022-10-04 | 2022-10-04 | 4600 LINTON BLVD STE 340, DELRAY BEACH, FL, 334456600, US | 4600 LINTON BLVD STE 340, DELRAY BEACH, FL, 334456600, US | |||||||||||||
|
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| Phone | +1 561-578-8400 |
Authorized person
| Name | FRANCO RIZZOLO |
| Role | MANAGER |
| Phone | 5615788080 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BARBANELL, DAVIN R | Agent | 7060 TAFT ST., HOLLYWOOD, FL 33024 |
| Name | Role | Address |
|---|---|---|
| BARBANELL, DAVIN R | Manager | 7060 TAFT ST, HOLLYWOOD, FL 33024 |
| WEINSTEIN, GARRETT R | Manager | 7060 TAFT ST, HOLLYWOOD, FL 33024 |
| GOMEZ, KEREN H | Manager | 7060 TAFT ST, HOLLYWOOD, FL 33024 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-01-31 |
| Florida Limited Liability | 2022-07-29 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
