Search icon

ASSOCIATESMD, LLC

Company Details

Entity Name: ASSOCIATESMD, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 05 Sep 2024 (5 months ago)
Document Number: L24000389080
Address: 4780 SW 64TH AVENUE, 103, DAVIE, FL 33314
Mail Address: 4780 SW 64TH AVENUE, 103, DAVIE, FL 33314
ZIP code: 33314
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881023166 2013-11-06 2013-11-06 4801 S UNIVERSITY DR STE 104, DAVIE, FL, 333283835, US 4801 S UNIVERSITY DR STE 104, DAVIE, FL, 333283835, US

Contacts

Phone +1 954-279-2572
Fax 8552995905

Authorized person

Name SPENCER HASTINGS
Role MANAGER
Phone 9542792572

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number OS10282
State FL
Is Primary Yes

Agent

Name Role
ATTARFAL HOLDINGS, LLC Agent

Manager

Name Role Address
LAFRATTA, LUIS F Manager 4780 SW 64TH AVENUE SUITE 103, DAVIE, FL 33314
HASTINGS, SPENCER Manager 4780 SW 64TH AVENUE SUITE 103, DAVIE, FL 33314

Documents

Name Date
Florida Limited Liability 2024-09-05

Date of last update: 07 Feb 2025

Sources: Florida Department of State