| Entity Name: | JAIME ACOSTA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Aug 2012 (12 years ago) |
| Document Number: | L12000099785 |
| FEI/EIN Number | 46-1652459 |
| Address: | 253 NE 2ND Street Suite 1704, MIAMI, FL 33132 |
| Mail Address: | 253 NE 2ND Street Suite 1704, MIAMI, FL 33132 |
| ZIP code: | 33132 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699017459 | 2013-03-20 | 2024-09-23 | 253 NE 2ND ST APT 1704, MIAMI, FL, 331322292, US | 253 NE 2ND ST APT 1704, MIAMI, FL, 331322292, US | |||||||||||||||||||||
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| Phone | +1 786-525-7470 |
| Fax | 7867965253 |
Authorized person
| Name | DR. JAIME LEON ACOSTA |
| Role | DIRECTOR |
| Phone | 7865257470 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PROVIDER |
| Number | E1835B |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| ACOSTA, JAIME | Managing Member | 234 N.E. 3rd Street, Unit 1104 MIAMI, FL 33132 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-18 | 253 NE 2ND Street Suite 1704, MIAMI, FL 33132 | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-18 | 253 NE 2ND Street Suite 1704, MIAMI, FL 33132 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-18 |
| ANNUAL REPORT | 2023-02-11 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-02-07 |
| ANNUAL REPORT | 2020-02-10 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-25 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-01-25 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
