| Entity Name: | CONCIERGE MEDICAL GROUP - SOUTH FLORIDA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 12 Aug 2013 (11 years ago) |
| Date of dissolution: | 31 Dec 2014 (10 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 31 Dec 2014 (10 years ago) |
| Document Number: | L13000114043 |
| FEI/EIN Number | 46-3376287 |
| Address: | 10300 SW 72ND STREET, SUITE 325, MIAMI, FL 33165 |
| Mail Address: | PO Box 430814, MIAMI, FL 33243-0814 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043643588 | 2013-08-20 | 2013-08-20 | 10300 SW 72ND ST., MIAMI, FL, 33165, US | 10300 SW 72ND ST., MIAMI, FL, 33165, US | |||||||||||||
|
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| Phone | +1 305-731-4064 |
Authorized person
| Name | DR. ELROY ALBERT KALME LOPEZ |
| Role | CHAIRMAN |
| Phone | 7865316800 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GRONLUND, GLENN | Agent | 1750 NE 149TH ST, SUITE 7, NORTH MIAMI, FL 33181 |
| Name | Role | Address |
|---|---|---|
| CLAVELO, RAMULO | Managing Member | 1325 SW 1ST ST, SUITE 201, MIAMI, FL 33135 |
| KALME, ELROY | Managing Member | PO Box 430814, MIAMI, FL 33243-0814 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2014-12-31 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-09 | 10300 SW 72ND STREET, SUITE 325, MIAMI, FL 33165 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2014-12-31 |
| ANNUAL REPORT | 2014-04-09 |
| Florida Limited Liability | 2013-08-12 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
