| Entity Name: | FIRST CARE PULMONARY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Apr 2024 (9 months ago) |
| Document Number: | L24000166955 |
| Address: | 2295 N UNIVERSITY DR., PEMBROKE PINES, FL 33024 |
| Mail Address: | 2295 N UNIVERSITY DR., PEMBROKE PINES, FL 33024 |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780420232 | 2024-07-03 | 2024-07-03 | 5201 HOLLYWOOD BLVD STE 2, HOLLYWOOD, FL, 330216422, US | 5201 HOLLYWOOD BLVD STE 2, HOLLYWOOD, FL, 330216422, US | |||||||||||||
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| Phone | +1 954-228-6619 |
Authorized person
| Name | JENNIFER ALSTON |
| Role | OPERATIONS DIRECTOR |
| Phone | 4076089358 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SCOTT M VENGEL, PA | Agent | 7900 NOVA DR., 103, DAVIE, FL 33324 |
| Name | Role | Address |
|---|---|---|
| VAZQUEZ, BALBINO, CEO | Manager | 2295 N UNIVERSITY DR, PEMBROKE PINES, FL 33024 |
| Name | Role | Address |
|---|---|---|
| CALLEGARI, JOHN, CFO | Authorized Person | 2295 N UNIVERSITY DR., PEMBROKE PINES, FL 33024 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, MANUEL, MD | Authorized Member | 2295 N UNIVERSITY DR., PEMBROKE PINES, FL 33024 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-04-08 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
