| Entity Name: | PINECREST MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 18 Feb 2011 (14 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L11000021072 |
| FEI/EIN Number | 27-5054075 |
| Address: | 15715 SOUTH DIXIE HWY, SUITE #219, MIAMI, FL 33157 |
| Mail Address: | 15715 SOUTH DIXIE HWY, SUITE #219, MIAMI, FL 33157 |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235438391 | 2011-03-15 | 2011-03-15 | 15715 S DIXIE HWY STE 407, MIAMI, FL, 331571812, US | 15715 S DIXIE HWY STE 407, MIAMI, FL, 331571812, US | |||||||||||||||||||
|
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| Phone | +1 786-227-6867 |
| Fax | 7862276806 |
Authorized person
| Name | MARTA E FARINAS |
| Role | MEDICAL DIRECTOR |
| Phone | 7862276867 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | OS3181 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FARINAS, MARTA E | Agent | 7621 NW 2 TERR, MIAMI, FL 33126 |
| Name | Role | Address |
|---|---|---|
| DE LA UZ, AMY M | Managing Member | 15715 SOUTH DIXIE HWY, SUITE #219 MIAMI, FL 33157 |
| FARINAS, MARTA E | Managing Member | 7621 NW 2 TERR, MIAMI, FL 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-17 | 15715 SOUTH DIXIE HWY, SUITE #219, MIAMI, FL 33157 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-17 | FARINAS, MARTA E | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-17 | 7621 NW 2 TERR, MIAMI, FL 33126 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-17 | 15715 SOUTH DIXIE HWY, SUITE #219, MIAMI, FL 33157 | No data |
| REINSTATEMENT | 2017-09-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-17 |
| REINSTATEMENT | 2017-09-29 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-04-01 |
| ANNUAL REPORT | 2014-04-24 |
| ANNUAL REPORT | 2013-03-18 |
| ANNUAL REPORT | 2012-04-16 |
| Reg. Agent Change | 2011-09-26 |
| Florida Limited Liability | 2011-02-18 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
