| Entity Name: | ENDOCRINE & DIABETES CONSULTANTS OF CENTRAL FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Sep 2023 (a year ago) |
| Document Number: | L23000436488 |
| FEI/EIN Number | 93-3532216 |
| Address: | 635 N MAITLAND AVE, MAITLAND, FL 32751 |
| Mail Address: | 635 N MAITLAND AVE, MAITLAND, FL 32751 |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285414839 | 2023-10-02 | 2023-10-02 | 635 N MAITLAND AVE, MAITLAND, FL, 327514422, US | 635 N MAITLAND AVE, MAITLAND, FL, 327514422, US | |||||||||||||
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| Phone | +1 407-342-4812 |
Authorized person
| Name | DR. SOHAIL H ALI |
| Role | MEDICAL DIRECTOR |
| Phone | 4073424812 |
Taxonomy
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALI, SOHAIL H | Agent | 635 N MAITLAND AVE, MAITLAND, FL 32751 |
| Name | Role | Address |
|---|---|---|
| ALI, SOHAIL H | Authorized Member | 635 N MAITLAND AVE, MAITLAND, FL 32751 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| Florida Limited Liability | 2023-09-19 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
