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TRAUMA AND CRITICAL CARE ASSOCIATES, LLC - Florida Company Profile

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Company Details

Entity Name: TRAUMA AND CRITICAL CARE ASSOCIATES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Apr 2025 (5 months ago)
Document Number: L25000143918
Address: 1600 SOUTH ANDREWS AVE, FORT LAUDERDALE, FL, 33316, US
Mail Address: 209 HENDRICKS ISLE, FORT LAUDERDALE, FL, 33301, US
ZIP code: 33316
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PUENTE IVAN Agent 2006 NE 49TH STREET, FORT LAUDERDALE, FL, 33308
PUENTE IVAN Manager 2006 NE 49TH STREET, FORT LAUDERDALE, FL, 33301

National Provider Identifier

NPI Number:
1619498946
Certification Date:
2025-05-30

Authorized Person:

Name:
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:

Fax:
9549580221

Events

Event Type Filed Date Value Description
CONVERSION 2025-04-02 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P96000030323. CONVERSION NUMBER 500000266695

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Date of last update: 03 Aug 2025

Sources: Florida Department of State