| Entity Name: | PRIMARY HEALTH HOSPITALIST OF SOUTH FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jun 2009 (16 years ago) |
| Document Number: | L09000060708 |
| FEI/EIN Number | 800442215 |
| Address: | 425 Woodcrest Rd, Key Biscayne, FL, 33149, US |
| Mail Address: | 425 Woodcrest Rd, KEY BISCAYNE, FL, 33149-1838, US |
| ZIP code: | 33149 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689807653 | 2009-08-25 | 2009-08-25 | 1455 SW 27TH AVE, MIAMI, FL, 331451234, US | 1455 SW 27TH AVE, MIAMI, FL, 331451234, US | |||||||||||||||||||
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| Phone | +1 305-649-3260 |
| Fax | 3056493261 |
Authorized person
| Name | DR. RAUL IGNACIO TANO |
| Role | PRESIDENT |
| Phone | 3056493260 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| License Number | ME46299 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THOMAS LEWIS C | Agent | 2340 SOUTH DIXIE HIGHWAY, MIAMI, FL, 33133 |
| Name | Role | Address |
|---|---|---|
| TANO RAUL I | Manager | 425 WOODCREST RD, KEY BISCAYNE, FL, 33149 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-03-13 | 425 Woodcrest Rd, Key Biscayne, FL 33149 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-29 | 425 Woodcrest Rd, Key Biscayne, FL 33149 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-02-11 |
| ANNUAL REPORT | 2020-03-02 |
| ANNUAL REPORT | 2019-03-03 |
| ANNUAL REPORT | 2018-02-09 |
| ANNUAL REPORT | 2017-03-14 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-02-02 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
