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SKILLED PHYSICIAN SOLUTIONS LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
PATEL ANKIT Agent 8011 BARROSA CIRCLE, MELBOURNE, FL, 32940

Authorized Member

Name Role Address
PATEL ANKIT Authorized Member 8011 BARROSA CIRCLE, MELBOURNE, FL, 32940

Documents

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