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PCS OF FLORIDA, LLC

Company Details

Entity Name: PCS OF FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 26 Oct 2023 (a year ago)
Document Number: L23000489912
FEI/EIN Number 93-4108245
Address: 3750 NW 87 AVENUE, 500, DORAL, FL 33178
Mail Address: 3750 NW 87 AVENUE, 500, DORAL, FL 33178
ZIP code: 33178
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962269456 2024-03-01 2024-03-01 3750 NW 87TH AVE STE 500, DORAL, FL, 331782433, US 3750 NW 87TH AVE STE 500, DORAL, FL, 331782433, US

Contacts

Phone +1 305-284-7484

Authorized person

Name JOSE PELAYO
Role CEO
Phone 3052847484

Taxonomy

Taxonomy Code 208VP0014X - Interventional Pain Medicine Physician
Is Primary Yes

Agent

Name Role Address
DOMINGUEZ, JENNIFER H Agent 3750 NW 87 AVENUE, 500, DORAL, FL 33178

Manager

Name Role Address
PELAYO, JOSE Manager 3750 NW 87 AVENUE SUITE 500, DORAL, FL 33178

Documents

Name Date
ANNUAL REPORT 2024-04-23
Florida Limited Liability 2023-10-26

Date of last update: 08 Jan 2025

Sources: Florida Department of State