| Entity Name: | USLAR MEDICAL FL PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 04 Jan 2024 (a year ago) |
| Document Number: | P24000001725 |
| FEI/EIN Number | 99-0708708 |
| Address: | 2500 E HALLANDALE BEACH BLVD, SUITE 611, HALLANDALE BEACH, FL 33009 |
| Mail Address: | 2500 E HALLANDALE BEACH BLVD, SUITE 611, HALLANDALE BEACH, FL 33009 |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548031735 | 2024-01-16 | 2024-01-16 | 446 GRAND AVE APT 2, LEONIA, NJ, 076052299, US | 2500 E HALLANDALE BEACH BLVD STE 611, HALLANDALE BEACH, FL, 330094839, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 617-712-6539 |
Authorized person
| Name | DR. LIUBOU USLAR |
| Role | MEDICAL DIRECTOR |
| Phone | 6177126539 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| USLAR, LIUBOU | Agent | 2500 E HALLANDALE BEACH BLVD, SUITE 611, HALLANDALE BEACH, FL 33009 |
| Name | Role | Address |
|---|---|---|
| USLAR, LIUBOU | President | 2500 E HALLANDALE BEACH BLVD, SUITE 611, HALLANDALE BEACH, FL 33009 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-01-04 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
