Entity Name: | MEDISUN MEDICAL CENTER 2 INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 15 Oct 2024 (4 months ago) |
Document Number: | P24000064553 |
Address: | 3521 WEST BROWARD BLVD, 107 / 108, FT LAUDERDALE, FL 33312 |
Mail Address: | 3521 WEST BROWARD BLVD, 107 / 108, FT LAUDERDALE, FL 33312 |
ZIP code: | 33312 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1780406926 | 2024-10-29 | 2024-10-29 | 3521 W BROWARD BLVD STE 107-108, LAUDERHILL, FL, 333121048, US | 3521 W BROWARD BLVD STE 107-108, LAUDERHILL, FL, 333121048, US | |||||||||||||||
|
Phone | +1 786-360-5625 |
Fax | 7863641979 |
Authorized person
Name | MONICA SCHLOETER |
Role | AUTHORIZED OFFICIAL |
Phone | 7863605625 |
Taxonomy
Taxonomy Code | 261Q00000X - Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DIAZ, GUILLERMO | Agent | 10041 SW 40 STREET, MIAMI, FL 33165 |
Name | Role | Address |
---|---|---|
SCHLOETER, MONICA | President | 3521 WEST BROWARD BLVD, FT LAUDERDALE, FL 33312 |
Name | Date |
---|---|
Domestic Profit | 2024-10-15 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State