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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
NOVINS, JENNA | Agent | 5590 WELLESLEY PARK DR, BOCA RATON, FL 33433 |
Name | Role | Address |
---|---|---|
FADIL, AHMED | Authorized Member | 5947 AMBOY ROAD, STATEN ISLAND, NY 10309 |
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 |
Name | Date |
---|---|
Florida Limited Liability | 2024-01-18 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State