| Entity Name: | NOSTRUM MEDICAL CENTER, WEST DADE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Sep 2011 (13 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L11000106285 |
| FEI/EIN Number | 453362332 |
| Address: | 4155 SW 130 AVE, SUITE 101, MIAMI, FL, 33175, US |
| Mail Address: | 4155 SW 130 AVE, SUITE 101, MIAMI, FL, 33175, US |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285901926 | 2011-11-23 | 2011-11-23 | 4155 SW 130TH AVE STE 102, MIAMI, FL, 331753414, US | 4155 SW 130TH AVE STE 102, MIAMI, FL, 331753414, US | |||||||||||||||
|
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| Phone | +1 305-223-3580 |
| Fax | 3052233582 |
Authorized person
| Name | JOSE A ESNARD |
| Role | PRESIDENT |
| Phone | 3052233580 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ESNARD JOSE A | Agent | 4155 SW 130TH AVENUE, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| ESNARD JOSE A | President | 4155 SW 130TH AVENUE, SUITE 101, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| PEREZ AMADA C | Vice President | 4155 SW 130 AVE, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-30 | 4155 SW 130 AVE, SUITE 101, MIAMI, FL 33175 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-30 | 4155 SW 130 AVE, SUITE 101, MIAMI, FL 33175 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-30 | 4155 SW 130TH AVENUE, SUITE 101, MIAMI, FL 33175 | No data |
| LC AMENDMENT | 2011-10-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-10-25 | ESNARD, JOSE AMD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-30 |
| LC Amendment | 2011-10-25 |
| Florida Limited Liability | 2011-09-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
