| Entity Name: | SOUTH FLORIDA TRAUMA AND ACUTE CARE SURGERY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Feb 2024 (a year ago) |
| Document Number: | L24000065275 |
| FEI/EIN Number | 991437415 |
| Address: | 200 NE 2ND AVE, APT. 207, DELRAY BEACH, FL, 33444, US |
| Mail Address: | 200 NE 2ND AVE, APT. 207, DELRAY BEACH, FL, 33444, US |
| ZIP code: | 33444 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437917515 | 2024-03-12 | 2024-06-25 | 200 NE 2ND AVE APT 207, DELRAY BEACH, FL, 334443763, US | 901 45TH ST, MANGONIA PARK, FL, 334072413, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 561-271-2541 |
| Phone | +1 561-844-6300 |
Authorized person
| Name | DR. ADAM JOSEPH MANN |
| Role | PHYSICIAN |
| Phone | 5612712541 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 2086S0102X - Surgical Critical Care Physician |
| Is Primary | No |
| Taxonomy Code | 282N00000X - General Acute Care Hospital |
| Is Primary | No |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| MANN ADAM JM.D. | Manager | 200 NE 2ND AVE, APT. 207, DELRAY BEACH, FL, 33444 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-02-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
