| Entity Name: | SORRID MEDICAL CONSULTANTS, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Oct 2024 (4 months ago) |
| Document Number: | L24000426863 |
| Address: | 640 LAKE SUSAN RD, HAWTHORNE, FL 32640 |
| Mail Address: | 640 LAKE SUSAN RD, HAWTHORNE, FL 32640 |
| ZIP code: | 32640 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912727488 | 2024-10-10 | 2024-10-10 | 640 LAKE SUSAN RD, HAWTHORNE, FL, 326406420, US | 640 LAKE SUSAN RD, HAWTHORNE, FL, 326406420, US | |||||||||||||
|
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| Phone | +1 352-246-0936 |
Authorized person
| Name | MICHELL MULBERRY |
| Role | OWNER |
| Phone | 3522460936 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| MULBERRY, VINCENT | Manager | 640 LAKE SUSAN RD, HAWTHORNE, FL 32640 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-10-02 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
