| Entity Name: | MOSAIC MEDICINE URGENT CARE, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Mar 2024 (10 months ago) |
| Document Number: | L24000129966 |
| Address: | 3934 E STATE ROAD 64, BRADENTON, FL 34208 |
| Mail Address: | 3934 E STATE ROAD 64, BRADENTON, FL 34208 |
| ZIP code: | 34208 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891556387 | 2024-01-22 | 2024-02-15 | 3934 E STATE ROAD 64, BRADENTON, FL, 342089059, US | 3934 E STATE ROAD 64, BRADENTON, FL, 342089059, US | |||||||||||||||||||||||
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| Phone | +1 941-777-5665 |
| Fax | 8337404232 |
Authorized person
| Name | DR. MEHDI SATTARIAN |
| Role | MEDICAL DIRECTOR |
| Phone | 9417775665 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MOSAIC MEDICINE, PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| LUCAS, CORY | Manager | 3934 E STATE ROAD 64, BRADENTON, FL 34208 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-15 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
