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THE NEW YORK DOCTOR PLLC

Company Details

Entity Name: THE NEW YORK DOCTOR PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 18 Jan 2024 (a year ago)
Document Number: L24000036301
FEI/EIN Number 99-1102656
Address: 2727 W Dr Martin Luther king Jr blvd, SUITE 760, Tampa, FL 33607
Mail Address: 2727 W Dr Martin Luther king Jr blvd, SUITE 760, Tampa, FL 33607
ZIP code: 33607
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629835707 2024-03-05 2024-03-20 2727 W DR MARTIN LUTHER KING JR BLVD STE 760, TAMPA, FL, 336076358, US 2727 W DR MARTIN LUTHER KING JR BLVD STE 760, TAMPA, FL, 336076358, US

Contacts

Phone +1 813-374-0406
Fax 8133740940

Authorized person

Name AHMED ALY ABDELFADIL
Role PRESIDENT
Phone 9084004507

Taxonomy

Taxonomy Code 207RP1001X - Pulmonary Disease Physician
Is Primary Yes
Taxonomy Code 207RS0012X - Sleep Medicine (Internal Medicine) Physician
Is Primary No

Agent

Name Role Address
NOVINS, JENNA Agent 5590 WELLESLEY PARK DR, BOCA RATON, FL 33433

Authorized Member

Name Role Address
FADIL, AHMED Authorized Member 5947 AMBOY ROAD, STATEN ISLAND, NY 10309

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-29 2727 W Dr Martin Luther king Jr blvd, SUITE 760, Tampa, FL 33607 No data
CHANGE OF MAILING ADDRESS 2024-03-29 2727 W Dr Martin Luther king Jr blvd, SUITE 760, Tampa, FL 33607 No data

Documents

Name Date
Florida Limited Liability 2024-01-18

Date of last update: 08 Jan 2025

Sources: Florida Department of State