Entity Name: | PRIMEHEALTH PHYSICIANS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 22 Jul 2011 (14 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 29 Jul 2024 (6 months ago) |
Document Number: | L11000084695 |
FEI/EIN Number | 320349690 |
Address: | 14680 SW 8th STREET, MIAMI, FL, 33184, US |
Mail Address: | 14680 SW 8th STREET, MIAMI, FL, 33184, US |
ZIP code: | 33184 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1871838193 | 2012-11-28 | 2022-10-20 | 9045 SW 87TH CT, MIAMI, FL, 331762304, US | 9045 SW 87TH CT, MIAMI, FL, 331762304, US | |||||||||||||||||||||
|
Phone | +1 954-551-5562 |
Authorized person
Name | CESAR ORTIZ |
Role | CEO |
Phone | 9545515562 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | No |
Taxonomy Code | 207QA0505X - Adult Medicine Physician |
Is Primary | No |
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MARTIN J SANTIAGO,MD | Agent | 14680 SW 8TH STREET, MIAMI, FL, 33184 |
Name | Role | Address |
---|---|---|
KUTNER MARK EM.D. | Manager | 14680 SW 8TH STREET, MIAMI, FL, 33184 |
PEREIRA JORGE AM.D. | Manager | 14680 SW 8th STREET, MIAMI, FL, 33184 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC AMENDMENT | 2024-07-29 | No data | No data |
LC AMENDMENT | 2020-02-18 | No data | No data |
LC STMNT OF RA/RO CHG | 2020-01-13 | No data | No data |
LC AMENDMENT | 2016-02-23 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2014-01-16 | 14680 SW 8th STREET, SUITE # 211, MIAMI, FL 33184 | No data |
CHANGE OF MAILING ADDRESS | 2014-01-16 | 14680 SW 8th STREET, SUITE # 211, MIAMI, FL 33184 | No data |
Name | Date |
---|---|
LC Amendment | 2024-07-29 |
ANNUAL REPORT | 2024-01-31 |
ANNUAL REPORT | 2023-02-16 |
ANNUAL REPORT | 2022-01-12 |
ANNUAL REPORT | 2021-01-25 |
LC Amendment | 2020-02-18 |
ANNUAL REPORT | 2020-01-15 |
CORLCRACHG | 2020-01-13 |
ANNUAL REPORT | 2019-02-14 |
ANNUAL REPORT | 2018-03-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State