| Entity Name: | ESCRIBA MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Feb 2024 (a year ago) |
| Document Number: | L24000092883 |
| FEI/EIN Number | 99-1541208 |
| Address: | 11925 SOUTHERN BOULEVARD, BAY #3, ROYAL PALM BEACH, FL 33411 |
| Mail Address: | 13182 LA MIRADA CIRCLE, WELLINGTON, FL 33414 |
| ZIP code: | 33411 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932967221 | 2024-03-11 | 2024-03-11 | 13182 LA MIRADA CIR, WELLINGTON, FL, 334143997, US | 11925 SOUTHERN BLVD STE 3, ROYAL PALM BEACH, FL, 334117672, US | |||||||||||||||||||||||
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| Phone | +1 773-639-8651 |
| Phone | +1 773-364-0750 |
Authorized person
| Name | ABELARDO ESCRIBA OMAR |
| Role | MD |
| Phone | 7736398651 |
Taxonomy
| Taxonomy Code | 133VN1201X - Obesity and Weight Management Nutrition Registered Dietitian |
| Is Primary | No |
| Taxonomy Code | 163WI0500X - Infusion Therapy Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ESCRIBA OMAR, ABELARDO | Agent | 13182 LA MIRADA CIRCLE, WELLINGTON, FL 33414 |
| Name | Role | Address |
|---|---|---|
| ESCRIBA OMAR, ABELARDO | Manager | 13182 LA MIRADA CIRCLE, WELLINGTON, FL 33414 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-24 |
| Florida Limited Liability | 2024-02-22 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
