| Entity Name: | MEDICAL DECISION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jul 1999 (26 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 20 Sep 1999 (25 years ago) |
| Document Number: | L99000004236 |
| FEI/EIN Number | 650933440 |
| Address: | 2890 STATE ROAD 84, SUITE 102, FORT LAUDERDALE, FL, 33312, US |
| Mail Address: | 2890 STATE ROAD 84, SUITE 102, FORT LAUDERDALE, FL, 33312, US |
| ZIP code: | 33312 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629192315 | 2007-03-19 | 2012-02-21 | 2890 W STATE ROAD 84, SUITE #102, FORT LAUDERDALE, FL, 333124828, US | 2890 W STATE ROAD 84, SUITE #102, FORT LAUDERDALE, FL, 333124828, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-772-1631 |
| Fax | 9547721566 |
Authorized person
| Name | MR. HECTOR E IZQUIERDO JR. |
| Role | CEO |
| Phone | 9547721631 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 239 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 021631379 |
| State | FL |
| Issuer | MEDICAID |
| Number | 679812896 |
| State | FL |
| Issuer | MEDICAID |
| Number | 678001600 |
| State | FL |
| Issuer | MEDICAID |
| Number | 679812898 |
| State | FL |
| Issuer | MEDICAID |
| Number | 021631300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| IZQUIERDO JUAN | Agent | 2890 STATE ROAD 84, SUITE 102, FT. LAUDERDALE, FL, 33312 |
| Name | Role | Address |
|---|---|---|
| IZQUIERDO HECTOR S | Managing Member | 2890 STATE ROAD 84, SUITE 102, FORT LAUDERDALE, FL, 33312 |
| IZQUIERDO JUAN | Managing Member | 2890 STATE ROAD 84, SUITE 102, FORT LAUDERDALE, FL, 33312 |
| IZQUIERDO HECTOR J | Managing Member | 2890 STATE ROAD 84, SUITE 102, FORT LAUDERDALE, FL, 33312 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000099660 | MEDICAL DECISION SERVICES | ACTIVE | 2017-08-31 | 2027-12-31 | No data | 2890 W. SR 84 #102, STE #102, FORT LAUDERDALE, FL, 33312 |
| G11000021843 | MEDICAL DECISION SERVICES | EXPIRED | 2011-02-28 | 2016-12-31 | No data | 2890 WEST STATE ROAD 84, STE 102, FORT LAUDERDALE, FL, 33312 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-28 | 2890 STATE ROAD 84, SUITE 102, FORT LAUDERDALE, FL 33312 | No data |
| CHANGE OF MAILING ADDRESS | 2011-02-28 | 2890 STATE ROAD 84, SUITE 102, FORT LAUDERDALE, FL 33312 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-28 | 2890 STATE ROAD 84, SUITE 102, FT. LAUDERDALE, FL 33312 | No data |
| REGISTERED AGENT NAME CHANGED | 2000-05-02 | IZQUIERDO, JUAN | No data |
| AMENDMENT | 1999-09-20 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-12 |
| ANNUAL REPORT | 2022-01-14 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-01-21 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-01-29 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
