| Entity Name: | DIAGNOSTIC CENTER FOR WOMEN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Mar 2004 (21 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 03 Jun 2009 (16 years ago) |
| Document Number: | L04000020922 |
| FEI/EIN Number | 542129332 |
| Mail Address: | 3225 AVIATION AVE, STE 700, MIAMI, FL, 33133 |
| Address: | 7500 SW 87TH AVE, STE 100, MIAMI, FL, 33173 |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629185541 | 2006-08-24 | 2014-09-23 | 7500 SW 87TH AVE, SUITE 100, MIAMI, FL, 331735426, US | 7500 SW 87TH AVE, SUITE 100, MIAMI, FL, 331735426, US | |||||||||||||||||||||
|
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| Phone | +1 305-740-5100 |
| Fax | 3057405101 |
Authorized person
| Name | PATRICIA C VARONA |
| Role | DIRECTOR |
| Phone | 3057405100 |
Taxonomy
| Taxonomy Code | 261QR0206X - Mammography Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC/BS |
| Number | V2360 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| YELEN MITCHELL A | Agent | 3444 Main HWY., Miami, FL, 33133 |
| Name | Role |
|---|---|
| VITALMD GROUP HOLDING, LLC | Auth |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000065802 | DIAGNOSTIC CENTER OF MIAMI | ACTIVE | 2022-05-27 | 2027-12-31 | No data | 3225 AVIATION AVENUE, SUITE 700, MIAMI, FL, 33133 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-25 | 3444 Main HWY., 2nd Floor, Miami, FL 33133 | No data |
| LC AMENDMENT | 2009-06-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-05-09 | 7500 SW 87TH AVE, STE 100, MIAMI, FL 33173 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-03-23 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-03-04 |
| ANNUAL REPORT | 2020-03-12 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-03-16 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
