| Entity Name: | SRSS MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Mar 2024 (a year ago) |
| Document Number: | L24000113962 |
| FEI/EIN Number | 99-1734156 |
| Address: | 9161 NARCOOSSEE RD SUITE B209, ORLANDO, FL 32827 |
| Mail Address: | 9161 NARCOOSSEE RD SUITE B209, ORLANDO, FL 32827 |
| ZIP code: | 32827 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124886098 | 2024-03-06 | 2024-03-25 | 12503 BOVET AVE, ORLANDO, FL, 328277716, US | 1588 CITRUS MEDICAL CT, OCOEE, FL, 347614547, US | |||||||||||||
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| Phone | +1 786-699-1781 |
Authorized person
| Name | SARAH FATIMA SIDDIQUI |
| Role | OWNER/PARTNER |
| Phone | 3214381300 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SIDDIQUI, SARAH F | Agent | 12503 BOVET AVENUE, ORLANDO, FL 32827 |
| Name | Role | Address |
|---|---|---|
| SIDDIQUI, SARAH F | Director | 12503 BOVET AVENUE, ORLANDO, FL 32827 |
| RAWOF, SALMA | Director | 9304 MUSTARD LEAF DRIVE, ORLANDO, FL 32827 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000040924 | PRO MED PHYSICIANS | ACTIVE | 2024-03-22 | 2029-12-31 | No data | 12503 BOVET AVENUE, ORLANDO, FL, 32827 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-17 | 9161 NARCOOSSEE RD SUITE B209, ORLANDO, FL 32827 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-17 | 9161 NARCOOSSEE RD SUITE B209, ORLANDO, FL 32827 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-05 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
