| Entity Name: | MED PLAN CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MED PLAN CLINIC, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 18 Apr 2012 (13 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 01 Dec 2021 (3 years ago) |
| Document Number: | L12000052711 |
| FEI/EIN Number |
NOT APPLICABLE
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 9250 NW 36 Street, Suite 420, Doral, FL, 33178, US |
| Mail Address: | 9250 NW 36 Street, Suite 420, Doral, FL, 33178, US |
| ZIP code: | 33178 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750735338 | 2016-04-20 | 2017-06-12 | 3155 NW 77TH AVE, MIAMI, FL, 331221205, US | 9959 PINES BLVD, PEMBROKE PINES, FL, 330246177, US | |||||||||||||||||||||||||
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| Phone | +1 305-790-8129 |
| Phone | +1 954-433-2524 |
Authorized person
| Name | MR. MANUEL IGLEASIAS |
| Role | CEO |
| Phone | 7866415348 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | O18781000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | - |
| MED CARE CENTERS, LLC | Manager | - |
| Rodriquez- Duret Rodolfo | Manager | 9250 NW 36 Street, Doral, FL, 33178 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000049241 | MED CARE QUALITY MEDICAL CENTERS | EXPIRED | 2015-05-18 | 2020-12-31 | - | 2766 NW 62 STREET, MIAMI, FL, 33147 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-04 | 9250 NW 36 Street, Suite 420, Doral, FL 33178 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-04 | 9250 NW 36 Street, Suite 420, Doral, FL 33178 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-12-01 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | - |
| LC STMNT OF RA/RO CHG | 2021-12-01 | - | - |
| REGISTERED AGENT NAME CHANGED | 2021-12-01 | C T CORPORATION SYSTEM | - |
| REINSTATEMENT | 2020-10-13 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| LC AMENDMENT | 2018-12-03 | - | - |
| LC AMENDMENT | 2014-02-21 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-29 |
| CORLCRACHG | 2021-12-01 |
| ANNUAL REPORT | 2021-03-16 |
| REINSTATEMENT | 2020-10-13 |
| ANNUAL REPORT | 2019-03-28 |
| LC Amendment | 2018-12-03 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-03-09 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
