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ANDRES A ALBORNOZ MD PA - Florida Company Profile

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Company Details

Entity Name: ANDRES A ALBORNOZ MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Sep 2020 (5 years ago)
Document Number: P20000072116
FEI/EIN Number 85-3225520
Address: 4516 GULF SOUNDS LN, LAKE WORTH, FL, 33467
Mail Address: 4516 GULF SOUNDS LN, LAKE WORTH, FL, 33467
ZIP code: 33467
City: Lake Worth
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ALBORNOZ ANDRES President 4516 GULF SOUNDS LN, LAKE WORTH, FL, 33467
ALBORNOZ ANDRES Agent 4516 GULF SOUNDS LN, LAKE WORTH, FL, 33467

National Provider Identifier

NPI Number:
1073315842
Certification Date:
2025-04-01

Authorized Person:

Name:
DR. ANDRES ANTONIO ALBORNOZ
Role:
OWNER/ PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207RI0008X - Hepatology Physician
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2025-02-09
ANNUAL REPORT 2024-01-23
ANNUAL REPORT 2023-04-13
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-04-06
Domestic Profit 2020-09-09

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Date of last update: 02 Aug 2025

Sources: Florida Department of State