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MEDISUN MEDICAL CENTER 2 INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
DIAZ, GUILLERMO Agent 10041 SW 40 STREET, MIAMI, FL 33165

President

Name Role Address
SCHLOETER, MONICA President 3521 WEST BROWARD BLVD, FT LAUDERDALE, FL 33312

Documents

Name Date
Domestic Profit 2024-10-15

Date of last update: 06 Jan 2025

Sources: Florida Department of State