| Entity Name: | VACA ABRAHAM MD INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 May 2024 (8 months ago) |
| Document Number: | P24000037895 |
| Address: | 8260 W FLAGLER ST, 2H, MIAMI, FL, 33144 |
| Mail Address: | 8260 W FLAGLER ST, 2H, MIAMI, FL, 33144 |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225872195 | 2024-06-24 | 2024-08-04 | 8260 W FLAGLER ST STE 2H, MIAMI, FL, 331442069, US | 8260 W FLAGLER ST STE 2H, MIAMI, FL, 331442069, US | |||||||||||||||
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| Phone | +1 305-229-0551 |
| Fax | 3052291823 |
Authorized person
| Name | DR. SHARIEF M ABRAHAM |
| Role | CFO |
| Phone | 5617551681 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VACA CARLOS CEO | Agent | 8260 W FLAGLER ST, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| VACA CARLOS | Chief Executive Officer | 8260 W FLAGELR ST SUITE 2H, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| VACA ILANA | Chief Operating Officer | 8260 W FLAGLER ST SUITE 2H, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| ABRAHAM SHARIEF | Chief Financial Officer | 8260 W FLAGLER ST SUITE 2H, MIAMI, FL, 33144 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-05-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
