| Entity Name: | BAPTIST SLEEP CENTER AT GALLOWAY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 24 Dec 2009 (15 years ago) |
| Date of dissolution: | 13 Jun 2019 (6 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 13 Jun 2019 (6 years ago) |
| Document Number: | L09000122005 |
| FEI/EIN Number | 271591797 |
| Address: | 6855 RED ROAD, SUITE 600, CORAL GABLES, FL, 33143 |
| Mail Address: | 6855 RED ROAD, SUITE 600, CORAL GABLES, FL, 33143 |
| ZIP code: | 33143 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144523127 | 2010-12-13 | 2018-05-11 | 6855 RED ROAD, STE 500, CORAL GABLES, FL, 331433623, US | 7400 SW 87TH AVE, MIAMI, FL, 331735458, US | |||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 786-662-7980 |
| Fax | 7865339403 |
| Phone | +1 786-662-7111 |
Authorized person
| Name | NANCY BATISTA-RODRIGUEZ |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 7866627111 |
Taxonomy
| Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | UNITED |
| Number | 3276770 |
| Issuer | AETNA HMO |
| Number | PVN-8286558 |
| Issuer | UNITED MEDICARE |
| Number | 34-00159 |
| Issuer | AETNA NON HMO |
| Number | PIN-9784775 |
| Issuer | MEDICAID |
| Number | 003909400 |
| State | FL |
| Issuer | AVMED |
| Number | 342866 |
| Issuer | NEIGHORHOOD |
| Number | F00327677001 |
| Name | Role | Address |
|---|---|---|
| FRIEDMAN DAVID R | Agent | 6855 RED ROAD, CORAL GABLES, FL, 33143 |
| Name | Role |
|---|---|
| BAPTIST SLEEP CENTERS, LLC | Managing Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2019-06-13 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L10000105627. MERGER NUMBER 100000194071 |
| REGISTERED AGENT ADDRESS CHANGED | 2011-03-15 | 6855 RED ROAD, SUITE 500, CORAL GABLES, FL 33143 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-02-05 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-03-02 |
| ANNUAL REPORT | 2014-03-17 |
| ANNUAL REPORT | 2013-03-22 |
| ANNUAL REPORT | 2012-04-04 |
| ANNUAL REPORT | 2011-03-15 |
| ANNUAL REPORT | 2010-03-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
