| Entity Name: | MEDIX FAMILY HEALTH CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Dec 2011 (13 years ago) |
| Document Number: | L11000136363 |
| FEI/EIN Number | 45-3862956 |
| Address: | 1442 NE 26th St, wilton manors, FL 33305 |
| Mail Address: | 1442 NE 26th St, wilton manors, FL 33305 |
| ZIP code: | 33305 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710255567 | 2011-12-08 | 2024-09-15 | 2331 NORTH STATE ROAD 7, SUITE 102, LAUDERHILL, FL, 33313, US | 2331 N STATE ROAD 7, SUITE 102, LAUDERDALE LAKES, FL, 333133748, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 954-484-8444 |
| Fax | 9544847784 |
Authorized person
| Name | YVETTE J FLETCHER |
| Role | OWNER |
| Phone | 9544848444 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 304370300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FLETCHER, YVETTE J | Agent | 2331 NORTH STATE ROAD 7, SUITE 102, LAUDERHILL, FL 33313 |
| Name | Role | Address |
|---|---|---|
| FLETCHER, YVETTE J | Manager | 2331 NORTH STATE ROAD 7, SUITE 101 LAUDERHILL, FL 33313 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000031758 | MEDIX URGENT CARE CENTER | ACTIVE | 2020-03-12 | 2025-12-31 | No data | 2331 N SR 7, SUITE 102, LAUDERHILL, FL, 33313 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-15 | 1442 NE 26th St, wilton manors, FL 33305 | No data |
| CHANGE OF MAILING ADDRESS | 2023-06-15 | 1442 NE 26th St, wilton manors, FL 33305 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-03-21 |
| ANNUAL REPORT | 2019-03-31 |
| ANNUAL REPORT | 2018-02-18 |
| ANNUAL REPORT | 2017-02-28 |
| ANNUAL REPORT | 2016-03-10 |
| ANNUAL REPORT | 2015-01-11 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
