| Entity Name: | SOUTH FLORIDA INFECTIOUS DISEASE AND TROPICAL MEDICINE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 Jan 2005 (20 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 26 May 2011 (14 years ago) |
| Document Number: | L05000002130 |
| FEI/EIN Number | 20-2364772 |
| Address: | 5975 SUNSET DRIVE, SUITE 103, SOUTH MIAMI, FL 33143 |
| Mail Address: | 5975 SUNSET DRIVE, SUITE 103, SOUTH MIAMI, FL 33143 |
| ZIP code: | 33143 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609832559 | 2006-04-20 | 2022-12-09 | 5975 SUNSET DR STE 103, SOUTH MIAMI, FL, 331435198, US | 5975 SUNSET DR STE 103, SOUTH MIAMI, FL, 331435198, US | |||||||||||||||||||||||||||
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| Phone | +1 305-666-4044 |
| Fax | 3056668387 |
| Fax | 3056678387 |
Authorized person
| Name | JORGE MEJIA |
| Role | VICE PRESIDENT |
| Phone | 0566664044 |
Taxonomy
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| License Number | ME0059704 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 280508100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Arias, Yesica | Agent | 5975 Sunset Drive, Suite 103, South Miami, FL 33143 |
| Name | Role |
|---|---|
| JRM, MD, P.A. | Executive Vice President |
| Name | Role |
|---|---|
| JRM, MD, P.A. | Treasurer |
| Name | Role |
|---|---|
| JORGE MURILLO, MD, P.A. | President |
| Name | Role |
|---|---|
| JRM, MD, P.A. | Manager |
| Name | Role |
|---|---|
| CARLOS G TORRES-VIERA, MD, P.A. | Secretary |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-03-09 | Arias, Yesica | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-09 | 5975 Sunset Drive, Suite 103, South Miami, FL 33143 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-25 | 5975 SUNSET DRIVE, SUITE 103, SOUTH MIAMI, FL 33143 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-25 | 5975 SUNSET DRIVE, SUITE 103, SOUTH MIAMI, FL 33143 | No data |
| LC AMENDMENT | 2011-05-26 | No data | No data |
| LC AMENDMENT | 2011-05-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-09 |
| ANNUAL REPORT | 2023-03-31 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-03-21 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-02-24 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
