| Entity Name: | FLORIDA WEST COAST COLON AND RECTAL SURGERY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Oct 2024 (4 months ago) |
| Document Number: | L24000453906 |
| Address: | 8421 POINTE LOOP DR., VENICE, FL 34293 |
| Mail Address: | 8421 POINTE LOOP DR., VENICE, FL 34293 |
| ZIP code: | 34293 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043045297 | 2024-09-06 | 2024-09-06 | 8421 POINTE LOOP DR, VENICE, FL, 342932232, US | 8421 POINTE LOOP DR, VENICE, FL, 342932232, US | |||||||||||||
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| Phone | +1 941-412-2100 |
Authorized person
| Name | RAFFI E AGOPIAN |
| Role | OWNER |
| Phone | 9414122100 |
Taxonomy
| Taxonomy Code | 208C00000X - Colon & Rectal Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AGOPIAN, RAFFI E, M.D. | Agent | 4985 GARDINERS BAY CIR, SARASOTA, FL 34238 |
| Name | Role | Address |
|---|---|---|
| AGOPIAN, RAFFI E | Manager | 4985 GARDINERS BAY CIR, SARASOTA, FL 34238 |
| Name | Role | Address |
|---|---|---|
| AGOPIAN, RAFFI E | Director | 4985 GARDINERS BAY CIR, SARASOTA, FL 34238 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-10-24 |
Date of last update: 07 Feb 2025
Sources: Florida Department of State
