| Entity Name: | SEA HEALTH PRIMARY CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Jun 2024 (7 months ago) |
| Document Number: | M24000008181 |
| Address: | 4929 SW 74TH CT., 1ST FL, MIAMI, FL, 33155, US |
| Mail Address: | 4929 SW 74TH CT., 1ST FL, MIAMI, FL, 33155, US |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | WYOMING |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073341897 | 2024-07-23 | 2024-08-06 | 202 NE 19TH DR, OKEECHOBEE, FL, 349721932, US | 202 NE 19TH DR, OKEECHOBEE, FL, 349721932, US | |||||||||||||
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| Phone | +1 863-357-6030 |
Authorized person
| Name | HAMMAD AHMED |
| Role | MANAGER |
| Phone | 3055426679 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THE LAW OFFICES OF MAX A. ADAMS, ESQ., PLL | Agent | 4929 SW 74TH CT., 1ST FL, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| ADAMS MAX | Authorized Person | 4929 SW 74TH CT., 1ST FL, MIAMI, FL, 33155 |
| Name | Date |
|---|---|
| Foreign Limited | 2024-06-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
