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PSL ATCA LLC - Florida Company Profile

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Company Details

Entity Name: PSL ATCA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Jul 2024 (a year ago)
Document Number: L24000299936
FEI/EIN Number 35-2862509
Address: 266 NW PEACOCK BLVD., SUITE 205, PORT ST. LUCIE, FL, 34986
Mail Address: 890 RIVERHAVEN DRIVE, SUWANEE, GA, 30024
ZIP code: 34986
City: Port Saint Lucie
County: St. Lucie
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BUCKLEY GREGORY Manager 890 RIVERHAVEN DRIVE, SUWANEE, GA, 30024
- Agent -

National Provider Identifier

NPI Number:
1053127357
Certification Date:
2024-12-10

Authorized Person:

Name:
MR. GREGORY BUCKLEY
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
133V00000X - Registered Dietitian
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Documents

Name Date
Florida Limited Liability 2024-07-03

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Date of last update: 02 Jul 2025

Sources: Florida Department of State