| Entity Name: | PINES CARE MEDICAL CENTER, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Dec 2010 (14 years ago) |
| Document Number: | L10000127064 |
| FEI/EIN Number | 274239402 |
| Mail Address: | 1000 NW 57 Ct., Miami, FL, 33126, US |
| Address: | 501 NW 103 AVENUE, PEMBROKE PINES, FL, 33026, US |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114223831 | 2011-01-27 | 2014-10-30 | 501 NW 103 AVE, PEMBROKE PINES, FL, 33026, US | 501 NW 103 AVE, PEMBROKE PINES, FL, 33026, US | |||||||||||||||
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| Phone | +1 954-251-1497 |
| Fax | 9544049537 |
Authorized person
| Name | MRS. YANELYS TREJO |
| Role | ADMINISTRATOR |
| Phone | 9542511497 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| De Vera Joseph NEsq. | Agent | 1000 NW 57 Ct., Miami, FL, 33126 |
| Name | Role |
|---|---|
| CAREMAX MEDICAL GROUP, L.L.C. | Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000027009 | VIDA MEDICAL CENTER | EXPIRED | 2014-03-17 | 2019-12-31 | No data | 315 W 9 STREET, HIALEAH, FL, 33010 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-04-28 | 501 NW 103 AVENUE, PEMBROKE PINES, FL 33026 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-28 | 1000 NW 57 Ct., 400, Miami, FL 33126 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-29 | De Vera, Joseph Nicholas, Esq. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-28 | 501 NW 103 AVENUE, PEMBROKE PINES, FL 33026 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-03-06 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-03-16 |
| ANNUAL REPORT | 2015-01-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
