| Entity Name: | WESTERN AND EASTERN MEDICAL FL, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Oct 2023 (a year ago) |
| Document Number: | L23000484395 |
| FEI/EIN Number | 93-4300068 |
| Address: | 1441 NE 4TH AVE, FORT LAUDERDALE, FL, 33304, US |
| Mail Address: | 1441 NE 4TH AVE, FORT LAUDERDALE, FL, 33304, US |
| ZIP code: | 33304 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710751805 | 2023-11-09 | 2023-11-09 | 1441 NE 4TH AVE, FORT LAUDERDALE, FL, 33304, US | 1441 NE 4TH AVE, FORT LAUDERDALE, FL, 33304, US | |||||||||||||||||||||||||||||||
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| Phone | +1 718-213-6274 |
| Fax | 8883771244 |
Authorized person
| Name | JOSEPHINE WU |
| Role | ADMINISTRATOR |
| Phone | 7182136274 |
Taxonomy
| Taxonomy Code | 207ZC0500X - Cytopathology Physician |
| Is Primary | No |
| Taxonomy Code | 207ZP0007X - Molecular Genetic Pathology (Pathology) Physician |
| Is Primary | No |
| Taxonomy Code | 207ZP0102X - Anatomic Pathology & Clinical Pathology Physician |
| Is Primary | Yes |
| Taxonomy Code | 207ZP0105X - Clinical Pathology/Laboratory Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 2083X0100X - Occupational Medicine Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ZHANG DAVID | Agent | 1441 NE 4TH AVE, FORT LAUDERDALE, FL, 33304 |
| Name | Role | Address |
|---|---|---|
| ZHANG DAVID MD | Authorized Member | 1441 NE 4TH AVE, FORT LAUDERDALE, FL, 33304 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| Florida Limited Liability | 2023-10-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
