| Entity Name: | SUNSHINE INFECTIOUS DISEASE & TROPICAL MEDICINE CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Apr 2024 (10 months ago) |
| Document Number: | L24000195336 |
| Address: | 4180 LANSING AVE, HOLLYWOOD, FL 33026 |
| Mail Address: | 4180 LANSING AVE, HOLLYWOOD, FL 33026 |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881440238 | 2024-04-26 | 2024-04-26 | 4180 LANSING AVE, HOLLYWOOD, FL, 330264931, US | 4180 LANSING AVE, HOLLYWOOD, FL, 330264931, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 954-526-6832 |
Authorized person
| Name | PREMALKUMAR PATEL |
| Role | MD |
| Phone | 2013015320 |
Taxonomy
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PATEL, PREMALKUMAR M | Agent | 4180 LANSING AVE, HOLLYWOOD, FL 33026 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-04-25 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
