Address: 2645 Executive Park Dr Ste 636, Weston, FL 33331-3624

(DUNS #116908980) is an entity registered with System for Award Management (SAM). The business start date is November 20, 2018.

Business Overview

DUNS Number 116908980 (Data Universal Numbering System by Dun & Bradstreet)
CAGE Code 87NK3 (Commercial and Government Entity Code by NATO Codification System)
Entity Structure 2L - Corporate Entity (Not Tax Exempt)
Physical Address 2645 Executive Park Dr Ste 636
Weston
FL 33331-3624
Mailing Address 340 S Lemon Ave #7898
Walnut
CA 91789
Business Type 2X - For Profit Organization
A5 - Veteran Owned Business
LJ - Limited Liability Company
Primary NAICS Code 621111 - Offices of Physicians (except Mental Health Specialists)
Credit Card Usage N
Debt Subject to Offset N
Disaster Response Registry Any area -
Incorporation State FL
Congressional District 23
Registration Purpose Z2 - All Awards
Record Status Active
Business Start Date November 20, 2018
Registration Date November 29, 2018
Expiration Date May 15, 2021
Update Date May 15, 2020
Activation Date May 15, 2020
Fiscal Year End Date 1231

Points of Contacts (POC)

Electronic Business POC

Contact Name & Title Ray-bernard Portier (DR.)
Address 340 S Lemon Ave #7898, Walnut, CA 91789
Phone Number 3605595870
Fax Number 7865810724
Email Address [email protected]

Government Business POC

Contact Name & Title Ray-bernard Portier
Address 340 S Lemon Ave #7898, Walnut, CA 91789
Phone Number 3605595870
Fax Number 7865810724
Email Address [email protected]

Other Sources

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New York State Liquor License DOUGLAS GRANT 42A 44 E 3RD ST MT VERNON NY 10550
New York State Liquor License BRUMIDI CATERING COMPANY INC &CONSTANTINO BRUMIDI 2075 DEER PARK AVENUE DEER PARK NY 11729
New York State Liquor License RAQUETTE RIVER BREWING LLC 11 BALSAM ST #2 TUPPER LAKE NY 12986
New York State Liquor License MADISON PRODUCE CORP 1307 9 MADISON AVE NEW YORK NY 10028
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New York State Liquor License NORTHSIDE BEVERAGE INC 1795 OLD MAIN RD MATTITUCK NY 11952
New York State Liquor License SMILEY BROTHERS INC 1000 MOUNTAIN REST ROAD H/O LAKE MOHONK NEW PALTZ NY 12561
New York State Liquor License LOUDONVILLE WINE AND SPIRITS INC 475 ALBANY SHAKER RD OSBORNE & ALBANY SHAKER RD ALBANY NY 12211

Office Location

Street Address 2645 EXECUTIVE PARK DR STE 636
City WESTON
State FL
Zip Code 33331

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Business Officer

Business Role Name Address

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City WESTON
Zip Code 33331

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Dataset Information

Data Provider System for Award Management (SAM)
Jurisdiction United States

This dataset includes 670 thousands business entities registered with the System for Award Management (SAM), General Services Administration. Each entity is registered with DUNS ID, business name, location, point of contacts, business types, etc.

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