| Entity Name: | EZRA MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Jan 2024 (a year ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 09 Jul 2024 (7 months ago) |
| Document Number: | L24000009463 |
| FEI/EIN Number | 99-0488272 |
| Address: | 1780 POLK STREET, SUITE D, HOLLYWOOD, FL 33020 |
| Mail Address: | 1780 POLK STREET, SUITE D, HOLLYWOOD, FL 33020 |
| ZIP code: | 33020 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285404962 | 2024-01-04 | 2024-01-04 | 1780 POLK ST FL 11, HOLLYWOOD, FL, 330204611, US | 1780 POLK ST FL 11, SUITE D, HOLLYWOOD, FL, 330204611, US | |||||||||||||
|
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| Phone | +1 917-509-2538 |
Authorized person
| Name | ISAAC SOSKIN |
| Role | MEMBER |
| Phone | 9175092538 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SOSKIN, ISAAC | Agent | 1780 POLK STREET, HOLLYWOOD, FL 33020 |
| Name | Role | Address |
|---|---|---|
| SOSKIN, ISAAC M | Authorized Member | 1780 POLK STREET, HOLLYWOOD, FL 33020 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-07-09 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-04 |
| LC Amendment | 2024-07-09 |
| Florida Limited Liability | 2024-01-03 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
