| Entity Name: | CUALS MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Jun 2011 (14 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 18 Apr 2024 (10 months ago) |
| Document Number: | L11000066513 |
| FEI/EIN Number | 45-2633775 |
| Mail Address: | 4010 W. BOY SCOUT BLVD, SUITE 500, TAMPA, FL, 33607, US |
| Address: | 7000 SW 62 AVENUE, SUITE 545A, 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 | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619543618 | 2021-06-01 | 2021-06-01 | PO BOX 9100, BELFAST, ME, 049159100, US | 7000 SW 62ND AVE STE 545, SOUTH MIAMI, FL, 331434724, US | |||||||||||||||||||||||
|
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| Phone | +1 561-300-2410 |
| Fax | 5612357292 |
| Phone | +1 305-665-2060 |
| Fax | 3056653600 |
Authorized person
| Name | ERICA HERNANDEZ |
| Role | MANAGER |
| Phone | 5613002410 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | No |
| Taxonomy Code | 207VF0040X - Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| FLORIDA WOMAN CARE, LLC | Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2024-04-18 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-18 | 7000 SW 62 AVENUE, SUITE 545A, SOUTH MIAMI, FL 33143 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-18 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-18 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| LC STMNT OF RA/RO CHG | 2023-12-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-18 | 7000 SW 62 AVENUE, SUITE 545A, SOUTH MIAMI, FL 33143 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| CORLCRACHG | 2024-04-18 |
| CORLCRACHG | 2023-12-13 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-02-22 |
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-03-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
