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PRABHAKAR PODIATRY LLC

Company Details

Entity Name: PRABHAKAR PODIATRY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 31 May 2023 (2 years ago)
Document Number: L23000264675
FEI/EIN Number 93-1782494
Address: 6020 NW 38TH ST, VIRGINIA GARDENS, FL 33166
Mail Address: 6020 NW 38TH ST, VIRGINIA GARDENS, FL 33166
ZIP code: 33166
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093545824 2024-08-06 2024-08-06 6020 NW 38TH ST, VIRGINIA GARDENS, FL, 331667007, US 6020 NW 38TH ST, VIRGINIA GARDENS, FL, 331667007, US

Contacts

Phone +1 786-300-8840

Authorized person

Name DR. RAJ PRABHAKAR
Role OWNER
Phone 7863008840

Taxonomy

Taxonomy Code 261QP1100X - Podiatric Clinic/Center
Is Primary Yes

Agent

Name Role Address
PRABHAKAR, RAJ Agent 6020 NW 38TH ST, VIRGINIA GARDENS, FL 33166

Manager

Name Role Address
PRABHAKAR, RAJ Manager 6020 NW 38TH ST, VIRGINIA GARDENS, FL 33166

Documents

Name Date
ANNUAL REPORT 2024-04-30
Florida Limited Liability 2023-05-31

Date of last update: 10 Feb 2025

Sources: Florida Department of State