| Entity Name: | WT HEALTH OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Jul 2024 (6 months ago) |
| Document Number: | L24000327597 |
| FEI/EIN Number | 99-4236236 |
| Address: | 200 S. PARK ROAD, SUITE 200, HOLLYWOOD, FL 33021 |
| Mail Address: | 200 S. PARK ROAD, SUITE 200, HOLLYWOOD, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982434106 | 2024-08-02 | 2024-08-02 | 200 S PARK RD STE 200, HOLLYWOOD, FL, 330218541, US | 200 S PARK RD STE 200, HOLLYWOOD, FL, 330218541, US | |||||||||||||||
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| Phone | +1 954-923-7440 |
| Fax | 9549231299 |
Authorized person
| Name | MINGHSUN LIU |
| Role | AUTHORIZED OFFICIAL/MEDICALDIRECTOR |
| Phone | 9549237440 |
Taxonomy
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, CHRISTIAN | Manager | 200 S. PARK ROAD, SUITE 200, HOLLYWOOD, FL 33021 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-26 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
