| Entity Name: | INJURY TREATMENT CENTER OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Jul 2024 (7 months ago) |
| Document Number: | L24000306027 |
| Address: | 8395 W. OAKLAND PARK BLVD, SUITE A, SUNRISE, FL 33351 |
| Mail Address: | 8395 W. OAKLAND PARK BLVD, SUITE A, SUNRISE, FL 33351 |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114765195 | 2024-07-16 | 2024-07-16 | 11410 PALM PASTURE DR, TAMPA, FL, 336356317, US | 8395 W OAKLAND PARK BLVD STE A, SUNRISE, FL, 333517301, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 813-244-7457 |
Authorized person
| Name | DR. MARK A SELDES |
| Role | CEO |
| Phone | 8132447457 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SELDES, MARK A | Agent | 11410 PALM PASTURE DRIVE, TAMPA, FL FL |
| Name | Role | Address |
|---|---|---|
| SELDES, MARK A | Chief Executive Officer | 11410 PALM PASTURE DRIVE, TAMPA, FL 33635 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-09 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
