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DELRAY TRAUMA ASSOCIATES, LLC - Florida Company Profile

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Company Details

Entity Name: DELRAY TRAUMA ASSOCIATES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Apr 2025 (5 months ago)
Document Number: L25000143900
Address: 2006 NE 49TH STREET, FT. LAUDERDALE, FL, 33308, US
Mail Address: 2006 NE 49TH STREET, FT. LAUDERDALE, FL, 33308, US
ZIP code: 33308
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PUENTE IVAN Agent 2006 NE 49TH STREET, FT. LAUDERDALE, FL, 33308
PUENTE IVAN Manager 2006 NE 49TH STREET, FT. LAUDERDALE, FL, 33308

National Provider Identifier

NPI Number:
1013166248
Certification Date:
2025-05-30

Authorized Person:

Name:
DR. IVAN PUENTE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2086S0102X - Surgical Critical Care Physician
Is Primary:
No
Selected Taxonomy:
2086S0127X - Trauma Surgery Physician
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CONVERSION 2025-04-02 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P96000048474. CONVERSION NUMBER 300000266693

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Date of last update: 01 Aug 2025

Sources: Florida Department of State