| Entity Name: | MGM MEDICAL GROUP MANAGEMENT "LLC" |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Jan 2012 (13 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L12000002314 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 8318 SW 193 Street, Cutler bay, FL, 33157, US |
| Mail Address: | 8318 SW 193 ST., CUTLER BAY, FL, 33157 |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265866693 | 2013-08-21 | 2013-08-21 | 8318 SW 193RD ST, CUTLER BAY, FL, 331578085, US | 8318 SW 193RD ST, CUTLER BAY, FL, 331578085, US | |||||||||||||
|
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| Phone | +1 786-395-1165 |
Authorized person
| Name | MR. MARIO ARMANDO ESPINO JR. |
| Role | CEO/PRESIDENT |
| Phone | 7863951165 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ESPINO MARIO | Agent | 8318 SW 193 ST, CUTLER BAY, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| ESPINO Mario | Managing Member | 8318 SW 193 ST, CUTLER BAY, FL, 33137 |
| Name | Role | Address |
|---|---|---|
| ESPINO Mario | Manager | 8318 SW 193 ST, CUTLER BAY, FL, 33137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| LC NAME CHANGE | 2013-04-08 | MGM MEDICAL GROUP MANAGEMENT "LLC" | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-02 | 8318 SW 193 Street, Cutler bay, FL 33157 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-15 |
| ANNUAL REPORT | 2013-04-02 |
| Florida Limited Liability | 2012-01-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
