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PERSONAL CARE MEDICAL GROUP LLC

Company Details

Entity Name: PERSONAL CARE MEDICAL GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 29 Jan 2010 (15 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 29 Nov 2022 (2 years ago)
Document Number: L10000010944
FEI/EIN Number 27-1837909
Address: 1 NE 167 STREET, NORTH MIAMI BEACH, FL 33162
Mail Address: 1 NE 167 STREET, NORTH MIAMI BEACH, FL 33162
ZIP code: 33162
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992027486 2010-02-24 2024-01-22 1 NE 167 STREET, NORTH MIAMI BEACH, FL, 33162, US 1 NE 167 STREET, NORTH MIAMI BEACH, FL, 33162, US

Contacts

Phone +1 305-432-9565
Fax 3054329567

Authorized person

Name MR. ROBBIE CHAMOUN
Role OWNER
Phone 7863172377

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
State FL
Is Primary Yes

Agent

Name Role Address
CHAMOUN, ROBBIE Agent 1 NE 167 STREET, NORTH MIAMI BEACH, FL 33162

Authorized Member

Name Role Address
CHAMOUN, ROBBIE Authorized Member 1 NE 167 STREET, NORTH MIAMI BEACH, FL 33162

Manager

Name Role Address
MOR, EDDIE Manager 1 NE 167 STREET, NORTH MIAMI BEACH, FL 33162
CASSIDY, BERNARD , Esq. Manager 1 NE 167 STREET, NORTH MIAMI BEACH, FL 33162
BLOOM, JOSH MAXWELL, Esq. Manager 1 NE 167 STREET, NORTH MIAMI BEACH, FL 33162
ADAMS , MARSHALL A, Esq. Manager 1 NE 167 STREET, NORTH MIAMI BEACH, FL 33162

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000116099 GLADES MEDICAL CENTERS ACTIVE 2022-09-15 2027-12-31 No data 1 NE 167 ST, NORTH MIAMI BEACH, FL, 33162
G16000009591 GLADES MEDICAL CENTERS EXPIRED 2016-01-26 2021-12-31 No data 1 NE 167 ST, NORTH MIAMI BEACH, FL, 33162

Events

Event Type Filed Date Value Description
LC AMENDMENT 2022-11-29 No data No data
LC AMENDMENT 2022-09-06 No data No data
LC AMENDMENT 2017-08-07 No data No data
LC AMENDMENT 2016-05-02 No data No data
REGISTERED AGENT NAME CHANGED 2016-05-02 CHAMOUN, ROBBIE No data
REGISTERED AGENT ADDRESS CHANGED 2015-09-16 1 NE 167 STREET, NORTH MIAMI BEACH, FL 33162 No data
LC AMENDMENT 2015-09-16 No data No data
CHANGE OF PRINCIPAL ADDRESS 2015-09-16 1 NE 167 STREET, NORTH MIAMI BEACH, FL 33162 No data
CHANGE OF MAILING ADDRESS 2015-09-16 1 NE 167 STREET, NORTH MIAMI BEACH, FL 33162 No data
LC DISSOCIATION MEM 2015-09-09 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-19
AMENDED ANNUAL REPORT 2023-05-26
ANNUAL REPORT 2023-03-13
LC Amendment 2022-11-29
LC Amendment 2022-09-06
ANNUAL REPORT 2022-03-24
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-05-28
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-30

Date of last update: 25 Jan 2025

Sources: Florida Department of State