| Entity Name: | SHI SPECIALISTS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Jan 2024 (a year ago) |
| Document Number: | L24000015763 |
| Address: | 3600 RED ROAD, SUITE 401, MIRAMAR, FL, 33025 |
| Mail Address: | 3600 RED ROAD, SUITE 401, MIRAMAR, FL, 33025 |
| ZIP code: | 33025 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912761917 | 2024-02-09 | 2024-04-22 | 3600 RED RD STE 401, MIRAMAR, FL, 330256014, US | 524 W SAGAMORE AVE, CLEWISTON, FL, 334403514, US | |||||||||||||||||
|
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| Phone | +1 863-902-3000 |
Authorized person
| Name | RUDDY A VALDES |
| Role | PRESIDENT |
| Phone | 7544007496 |
Taxonomy
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | No |
| Taxonomy Code | 2085B0100X - Body Imaging Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VALDES RUDDY A | Agent | 3600 RED ROAD, MIRAMAR, FL, 33025 |
| Name | Role | Address |
|---|---|---|
| VALDES RUDDY A | Manager | 3600 RED ROAD, SUITE 401, MIRAMAR, FL, 33025 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-01-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
