| Entity Name: | SPECIALIST CONSULTATION NETWORK LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Jun 2024 (8 months ago) |
| Document Number: | L24000277227 |
| FEI/EIN Number | 99-3618090 |
| Address: | 737 NW 135TH AVE, PEMBROKE PINES, FL 33028 |
| Mail Address: | 737 NW 135TH AVE, PEMBROKE PINES, FL 33028 |
| ZIP code: | 33028 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730907460 | 2024-10-01 | 2024-10-01 | 737 NW 135TH AVE, PEMBROKE PINES, FL, 330283157, US | 737 NW 135TH AVE, PEMBROKE PINES, FL, 330283157, US | |||||||||||||
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| Phone | +1 786-200-7553 |
Authorized person
| Name | WINSTON GUEVARA |
| Role | ARNP |
| Phone | 7862007553 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GUEVARA, WINSTON | Agent | 737 NW 135TH AVE, PEMBROKE PINES, FL 33028 |
| Name | Role | Address |
|---|---|---|
| GUEVARA, WINSTON | Authorized Member | 737 NW 135TH AVE, PEMBROKE PINES, FL 33028 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-18 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
