| Entity Name: | MICHAEL MD PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Mar 2023 (2 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 24 Apr 2023 (2 years ago) |
| Document Number: | L23000113223 |
| FEI/EIN Number | 922843380 |
| Address: | 4761 SWEETMEADOW CIRCLE, SARASOTA, FL, 34238, US |
| Mail Address: | 4761 SWEETMEADOW CIRCLE, SARASOTA, FL, 34238, US |
| ZIP code: | 34238 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306547286 | 2023-03-16 | 2024-05-28 | 3920 BEE RIDGE RD STE E, SARASOTA, FL, 342331207, US | 3920 BEE RIDGE RD STE E, SARASOTA, FL, 342331207, US | |||||||||||||||||||||||||
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| Phone | +1 941-777-0002 |
| Fax | 9417770036 |
Authorized person
| Name | EHAB MICHAEL |
| Role | PHYSICIAN AND OWNER |
| Phone | 6053215111 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | QN678 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MICHAEL EHAB | Agent | 4761 SWEETMEADOW CIRCLE, SARASOTA, FL, 34238 |
| Name | Role | Address |
|---|---|---|
| MICHAEL EHAB | Manager | 4761 SWEETMEADOW CIRCLE, SARASOTA, FL, 34238 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2023-04-24 | MICHAEL MD PLLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-23 |
| LC Name Change | 2023-04-24 |
| Florida Limited Liability | 2023-03-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
