| Entity Name: | CITRUS MEDICAL GROUP, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Jan 2024 (a year ago) |
| Document Number: | P24000003286 |
| Address: | 1150 NORTHWEST 72ND AVENUE, STE 455 #14449, MIAMI, FL, 33126, US |
| Mail Address: | 333 SE 2nd Ave Suite 2000, MIAMI, FL, 33131, US |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518725233 | 2024-03-07 | 2024-07-02 | 333 SE 2ND AVE STE 2000, MIAMI, FL, 331312185, US | 333 SE 2ND AVE STE 2000, MIAMI, FL, 331312185, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 412-576-2154 |
Authorized person
| Name | AABID SHARIFF |
| Role | STAFF |
| Phone | 4125762154 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | No |
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RH0003X - Hematology & Oncology Physician |
| Is Primary | No |
| Taxonomy Code | 207RI0008X - Hepatology Physician |
| Is Primary | No |
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ESTERMAN PHILIP | Agent | 382 NORTHEAST 191ST STREET, MIAMI, FL, 33179 |
| Name | Role | Address |
|---|---|---|
| ESTERMAN BRADLEY J | Director | 7531 ESTRELLA CIRCLE, BOCA RATON, FL, 33433 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-29 | 1150 NORTHWEST 72ND AVENUE, STE 455 #14449, MIAMI, FL 33126 | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2024-01-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
