| Entity Name: | JC FLEITES, MD, PA. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Jan 1999 (26 years ago) |
| Document Number: | P99000001789 |
| FEI/EIN Number | 650885094 |
| Address: | 3181 CORAL WAY,, MIAMI, FL, 33145, US |
| Mail Address: | 3181 CORAL WAY,, MIAMI, FL, 33145, US |
| ZIP code: | 33145 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255546669 | 2007-05-11 | 2008-02-20 | 3661 S MIAMI AVE, SUITE 708, MIAMI, FL, 331334236, US | 3661 S MIAMI AVE, SUITE 708, MIAMI, FL, 331334236, US | |||||||||||||||||||
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| Phone | +1 305-856-1002 |
| Fax | 3058560199 |
Authorized person
| Name | DR. JUAN C FLEITES |
| Role | MEDICAL DOCTOR |
| Phone | 3058561002 |
Taxonomy
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| License Number | ME0070014 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FLEITES JUAN C | Agent | 3181 CORAL WAY, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| FLEITES JUAN C | President | 3181 CORAL WAY, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| FLEITES JUAN C | Director | 3181 CORAL WAY, MIAMI, FL, 33145 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
