Entity Name: | MEDICAL CARE FOR WOMEN, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 07 Sep 2006 (18 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 29 Aug 2019 (5 years ago) |
Document Number: | L06000087999 |
FEI/EIN Number | 205503820 |
Address: | 1190 NW 95 STREET, Suite 107, MIAMI, FL, 33150, US |
Mail Address: | 1190 NW 95 STREET, Suite 107, MIAMI, FL, 33150, US |
ZIP code: | 33150 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1942342985 | 2007-02-13 | 2014-12-02 | 1190 NW 95TH ST, SUITE 105, MIAMI, FL, 331502063, US | 1190 NW 95TH ST STE 105, MIAMI, FL, 331502064, US | |||||||||||||||||||||||||
|
Phone | +1 305-696-9400 |
Fax | 3056969407 |
Authorized person
Name | DR. MARIE-CARMELLE LIBURD |
Role | PRESIDENT |
Phone | 3056969400 |
Taxonomy
Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
License Number | ME89786 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 004364900 |
State | FL |
Name | Role | Address |
---|---|---|
LIBURD MARIE-CARMELLECM.D. | Agent | 1190 NW 95 STREET, MIAMI, FL, 33150 |
Name | Role | Address |
---|---|---|
LIBURD RICHARD | Manager | 1190 NW 95 ST, MIAMI, FL, 33150 |
Name | Role |
---|---|
MARIE-CARMELLE C. LIBURD, M.D., P.A. | Managing Member |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2021-01-31 | 1190 NW 95 STREET, Suite 107, MIAMI, FL 33150 | No data |
CHANGE OF MAILING ADDRESS | 2021-01-31 | 1190 NW 95 STREET, Suite 107, MIAMI, FL 33150 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2021-01-31 | 1190 NW 95 STREET, Suite 107, MIAMI, FL 33150 | No data |
REINSTATEMENT | 2019-08-29 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2015-01-14 | LIBURD, MARIE-CARMELLE C, M.D. | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-12 |
ANNUAL REPORT | 2024-08-28 |
ANNUAL REPORT | 2023-07-03 |
ANNUAL REPORT | 2022-05-01 |
ANNUAL REPORT | 2021-01-31 |
ANNUAL REPORT | 2020-03-30 |
REINSTATEMENT | 2019-08-29 |
ANNUAL REPORT | 2017-02-06 |
ANNUAL REPORT | 2016-04-22 |
ANNUAL REPORT | 2015-01-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State