Entity Name: | SKILLED PHYSICIAN SOLUTIONS LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 17 Jul 2023 (2 years ago) |
Document Number: | L23000337829 |
FEI/EIN Number | 93-2551337 |
Address: | 8011 BARROSA CIRCLE, MELBOURNE, FL, 32940, US |
Mail Address: | 8011 BARROSA CIRCLE, MELBOURNE, FL, 32940, US |
ZIP code: | 32940 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1982387411 | 2023-08-10 | 2023-08-17 | 110 LONGWOOD AVE, ROCKLEDGE, FL, 329552828, US | 110 LONGWOOD AVE, ROCKLEDGE, FL, 329552828, US | |||||||||||||||||
|
Phone | +1 224-622-8855 |
Authorized person
Name | DR. ANKIT P PATEL |
Role | PRESIDENT |
Phone | 2246228855 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Taxonomy Code | 208M00000X - Hospitalist Physician |
Is Primary | No |
Name | Role | Address |
---|---|---|
PATEL ANKIT | Agent | 8011 BARROSA CIRCLE, MELBOURNE, FL, 32940 |
Name | Role | Address |
---|---|---|
PATEL ANKIT | Authorized Member | 8011 BARROSA CIRCLE, MELBOURNE, FL, 32940 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-27 |
Florida Limited Liability | 2023-07-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State