| Entity Name: | DR EID MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Jul 2023 (2 years ago) |
| Document Number: | L23000330984 |
| FEI/EIN Number | 93-2334324 |
| Address: | 2726 windguard circle, Wesley Chapel, FL, 33544, US |
| Mail Address: | 16711 IVY LAKE DR, ODESSA, FL, 33556, US |
| ZIP code: | 33544 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073386389 | 2023-10-30 | 2023-10-30 | 2726 WINDGUARD CIR, WESLEY CHAPEL, FL, 335447361, US | 2726 WINDGUARD CIR, WESLEY CHAPEL, FL, 335447361, US | |||||||||||
|
|||||||||||||||
| Name | AL BERRY |
| Role | MANAGER |
| Phone | 3867039084 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EID MOHAMAD | Agent | 16711 IVY LAKE DR, ODESSA, FL, 33556 |
| Name | Role | Address |
|---|---|---|
| EID MOHAMAD | Authorized Member | 16711 IVY LAKE DR, ODESSA, FL, 33556 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000138374 | EIDMED | ACTIVE | 2023-11-11 | 2028-12-31 | No data | 2726 WINDGUARD CIRCLE, STE 102, WESLEY CHAPEL, FL, 33544 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-28 | 2726 windguard circle, Ste 102, Wesley Chapel, FL 33544 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| Florida Limited Liability | 2023-07-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
