| Entity Name: | BOCASA GOURMET, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Sep 2006 (18 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 11 Mar 2024 (a year ago) |
| Document Number: | L06000092034 |
| FEI/EIN Number | 20-5579177 |
| Address: | 4709 SW 72 AVE, MIAMI, FL 33155 |
| Mail Address: | 4709 SW 72 AVE, MIAMI, FL 33155 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447635271 | 2015-07-22 | 2015-09-23 | 919 SW 122ND AVE, MIAMI, FL, 331842477, US | 919 SW 122ND AVE, MIAMI, FL, 331842477, US | |||||||||||||||||||||
|
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| Phone | +1 305-335-9067 |
| Fax | 3058469839 |
Authorized person
| Name | LIZBET DOMINGUEZ VILA |
| Role | PRESIDENT |
| Phone | 3053359067 |
Taxonomy
| Taxonomy Code | 332U00000X - Home Delivered Meals |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015597700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Dominguez-Vila, Lizbet | Agent | 4709 SW 72 AVE, MIAMI, FL 33155 |
| Name | Role | Address |
|---|---|---|
| DOMINGUEZ VILA, LIZBET | Manager | 4709 SW 72 AVE, MIAMI, FL 33155 |
| ERNESTO DOMINGUEZ VILA | Manager | 1800 SOUTH OCEAN DR UNIT 805, HALLANDALE BEACH, FL 33009 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-03-11 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-24 | 4709 SW 72 AVE, MIAMI, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-24 | 4709 SW 72 AVE, MIAMI, FL 33155 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-24 | 4709 SW 72 AVE, MIAMI, FL 33155 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-16 | Dominguez-Vila, Lizbet | No data |
| LC AMENDMENT | 2015-07-16 | No data | No data |
| LC AMENDMENT | 2015-06-19 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-03-11 |
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-02 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-29 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
