| Entity Name: | PSYCHMED MEDICAL GROUP LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Oct 2009 (15 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L09000095895 |
| FEI/EIN Number | 271060673 |
| Address: | 2903 NW 7TH STREET, MIAMI, FL, 33125, US |
| Mail Address: | 2901 NW 7 STREET, MIAMI, FL, 33125 |
| ZIP code: | 33125 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841529443 | 2009-12-11 | 2010-03-11 | 2901 NW 7TH ST, MIAMI, FL, 331254305, US | 2901 NW 7TH ST, MIAMI, FL, 331254305, US | |||||||||||||||||||||
|
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| Phone | +1 305-643-2228 |
| Fax | 3056431014 |
Authorized person
| Name | DR. ESTEBAN J VALDES CASTILLO |
| Role | PRESIDENT |
| Phone | 3056432228 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OCCUPATIONAL LICENSE |
| Number | 191119 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ESPINOSA WILLIAM | Agent | 10842 SW 33TH ST., MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| ESPINOSA WILLIAM | Managing Member | 5862 W. FLAGLER ST, MIAMI, FL, 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-30 | ESPINOSA, WILLIAM | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-10-16 | 2903 NW 7TH STREET, MIAMI, FL 33125 | No data |
| LC AMENDMENT | 2009-12-10 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-12-10 | 10842 SW 33TH ST., MIAMI, FL 33165 | No data |
| LC AMENDMENT | 2009-10-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-16 |
| ANNUAL REPORT | 2011-01-10 |
| ANNUAL REPORT | 2010-04-06 |
| LC Amendment | 2009-12-10 |
| LC Amendment | 2009-10-14 |
| Florida Limited Liability | 2009-10-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
