| Entity Name: | CCG OF SOUTH FLORIDA, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Jul 2011 (14 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 22 Dec 2015 (9 years ago) |
| Document Number: | L11000077371 |
| FEI/EIN Number | 452676189 |
| Address: | 8251 W Broward Blvd Ste 103, Plantation, FL, 33324, US |
| Mail Address: | 8251 W Broward Blvd Ste 103, Plantation, FL, 33324, US |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497034086 | 2011-08-12 | 2011-08-12 | 2901 CORAL HILLS DR, SUITE 360, CORAL SPRINGS, FL, 330654146, US | 2901 CORAL HILLS DR, SUITE 360, CORAL SPRINGS, FL, 330654146, US | |||||||||||||||
|
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| Phone | +1 954-255-7310 |
| Fax | 9542557311 |
Authorized person
| Name | MARIO B PEREIRA |
| Role | PRESIDENT |
| Phone | 9542557310 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| ME & ASSOCIATES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| ALHOMSI, PA | Authorized Member | 12174 NW 73rd Street, Parkland, FL, 33076 |
| SIERRA ALPHA MEDICAL, PA | Authorized Member | 1722 W LAS OLAS BLVD, FORT LAUDERDALE, FL, 33312 |
| TREMBITA, PA | Authorized Member | 10050 Vintage Place, Parkland, FL, 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-29 | 1500 Weston Road Ste 200, Weston, FL 33326 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-11 | ME & Associates, Inc. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-25 | 8251 W Broward Blvd Ste 103, Plantation, FL 33324 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-25 | 8251 W Broward Blvd Ste 103, Plantation, FL 33324 | No data |
| LC AMENDMENT | 2015-12-22 | No data | No data |
| REINSTATEMENT | 2012-11-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-03-28 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
