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MY FLORIDA CASE MANAGEMENT SERVICES LLC

Company Details

Entity Name: MY FLORIDA CASE MANAGEMENT SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 27 Mar 2012 (13 years ago)
Document Number: L12000042471
FEI/EIN Number 45-4907419
Address: 9590 NW 25TH ST, 2ND FLOOR, DORAL, FL 33172
Mail Address: 9590 NW 25TH ST, 2ND FLOOR, DORAL, FL 33172
ZIP code: 33172
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275206849 2021-07-29 2024-04-02 9590 NW 25TH ST FL 2, DORAL, FL, 331721402, US 9590 NW 25TH ST FL 2, DORAL, FL, 331721402, US

Contacts

Phone +1 786-314-4504
Fax 8339272568

Authorized person

Name DELVIS LEON QUINTANA
Role OFFICER
Phone 7863144504

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
Leon Quintana, Delvis Agent 9590 NW 25TH ST, 2ND FLOOR, DORAL, FL 33172

Manager

Name Role Address
LEON QUINTANA, DELVIS Manager 9590 NW 25TH ST, 2ND FLOOR DORAL, FL 33172
DEL PINO, ANA T Manager 9590 NW 25TH ST, 2ND FLOOR DORAL, FL 33172

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000099769 MY FLORIDA MEDICAL CENTER ACTIVE 2020-08-06 2025-12-31 No data 9590 NW 25TH ST 2ND FLOOR, DORAL, FL, 33172

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-01 9590 NW 25TH ST, 2ND FLOOR, DORAL, FL 33172 No data
CHANGE OF MAILING ADDRESS 2024-04-01 9590 NW 25TH ST, 2ND FLOOR, DORAL, FL 33172 No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-01 9590 NW 25TH ST, 2ND FLOOR, DORAL, FL 33172 No data
REGISTERED AGENT NAME CHANGED 2019-01-22 Leon Quintana, Delvis No data

Documents

Name Date
ANNUAL REPORT 2024-04-01
ANNUAL REPORT 2023-02-28
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-03-10
ANNUAL REPORT 2020-05-15
AMENDED ANNUAL REPORT 2019-04-22
AMENDED ANNUAL REPORT 2019-01-22
AMENDED ANNUAL REPORT 2019-01-15
ANNUAL REPORT 2019-01-11
ANNUAL REPORT 2018-03-29

Date of last update: 23 Jan 2025

Sources: Florida Department of State