| Entity Name: | MIAMI DADE PRIMARY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
MIAMI DADE PRIMARY CARE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 20 Jan 2009 (16 years ago) |
| Document Number: | L09000006464 |
| FEI/EIN Number |
26-4097717
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8302 Southwest 4th Street, Miami, FL 33144 |
| Mail Address: | 8302 Southwest 4th Street, Miami, FL 33144 |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114156452 | 2009-07-08 | 2010-06-23 | 3181 CORAL WAY, 4TH FLOOR, CORAL GABLES, FL, 331453216, US | 2974 SW 8TH ST, MIAMI, FL, 331352827, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 305-445-7200 |
| Fax | 3054457999 |
| Phone | +1 305-631-3000 |
| Fax | 3056313009 |
Authorized person
| Name | DR. RAMON CARRILLO |
| Role | MGR |
| Phone | 3054457200 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0014314 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 049755000 |
| State | FL |
| Issuer | NPI |
| Number | 1548224116 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CARRILLO, RAMON M.D. | Manager | 8302 Southwest 4th Street, Miami, FL 33144 |
| GONZALEZ, RAYDA E., D.N.P | Manager | 1508 Southwest 143RD Place, Miami, FL 33184 |
| LAW OFFICES OF CARRILLO & CARRILLO, P.A. | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-02-23 | Law Offices of Carrillo & Carrillo, P.A. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-23 | 1313 PONCE DE LEON BOULEVARD, SUITE 300, CORAL GABLES, FL 33134 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-17 | 8302 Southwest 4th Street, Miami, FL 33144 | - |
| CHANGE OF MAILING ADDRESS | 2019-03-17 | 8302 Southwest 4th Street, Miami, FL 33144 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-02-23 |
| ANNUAL REPORT | 2021-03-07 |
| ANNUAL REPORT | 2020-02-08 |
| ANNUAL REPORT | 2019-03-17 |
| ANNUAL REPORT | 2018-02-18 |
| ANNUAL REPORT | 2017-02-04 |
| ANNUAL REPORT | 2016-02-07 |
| ANNUAL REPORT | 2015-01-10 |
Date of last update: 24 Feb 2025
Sources: Florida Department of State
