| Entity Name: | REGENERATE PRIMARY MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 May 2011 (14 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 04 Aug 2023 (2 years ago) |
| Document Number: | L11000058841 |
| FEI/EIN Number | 452418928 |
| Address: | 6161 SOUTHWEST 72ND STREET, SOUTH MIAMI, FL, 33143, US |
| Mail Address: | 6161 SOUTHWEST 72ND STREET, SOUTH MIAMI, FL, 33143, US |
| ZIP code: | 33143 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851903223 | 2020-08-18 | 2020-08-18 | 6161 SUNSET DR STE B, SOUTH MIAMI, FL, 331435045, US | 6161 SUNSET DR STE B, SOUTH MIAMI, FL, 331435045, US | |||||||||||||
|
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| Phone | +1 305-663-1113 |
Authorized person
| Name | JOSEFINA LOZANO |
| Role | MEMBER |
| Phone | 3056631113 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| QUIJADA BETZABETH | Agent | 6161 SOUTHWEST 72ND STREET, SOUTH MIAMI, FL, 33143 |
| Name | Role | Address |
|---|---|---|
| LOZANO JOSEFINA | Manager | 6161 SOUTHWEST 72ND STREET, SOUTH MIAMI, FL, 33143 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-08-04 | No data | No data |
| LC STMNT OF RA/RO CHG | 2019-11-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-11-21 | QUIJADA, BETZABETH | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-11-21 | 6161 SOUTHWEST 72ND STREET, SOUTH MIAMI, FL 33143 | No data |
| REINSTATEMENT | 2013-03-10 | No data | No data |
| LC AMENDMENT | 2012-12-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| LC Amendment | 2023-08-04 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-04-13 |
| CORLCRACHG | 2019-11-21 |
| ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-04-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
