| Entity Name: | PEDIATRIC MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Mar 2023 (2 years ago) |
| Document Number: | L23000136041 |
| FEI/EIN Number | 92-3134494 |
| Address: | 836 PAUL STREET, ORLANDO, FL 32808 |
| Mail Address: | 836 PAUL STREET, ORLANDO, FL 32808 |
| ZIP code: | 32808 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235823691 | 2023-06-07 | 2023-06-07 | 836 PAUL STREET, ORLANDO, FL, 32808, US | 836 PAUL STREET, ORLANDO, FL, 32808, US | |||||||||||||||
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| Phone | +1 407-342-1896 |
| Fax | 4073694279 |
Authorized person
| Name | GHAZALA AHMED |
| Role | PRESIDENT |
| Phone | 3219475901 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AHMED, IJAZ | Agent | 8980 KILGORE RD, ORLANDO, FL 32836 |
| Name | Role | Address |
|---|---|---|
| AHMED, GHAZALA I | Manager | 8980 KILGORE ROAD, ORLANDO, FL 32836 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| Florida Limited Liability | 2023-03-16 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
