| Entity Name: | CHEN NEIGHBORHOOD MEDICAL HALLANDALE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 18 Oct 2013 (11 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L13000146856 |
| FEI/EIN Number | 46-3987211 |
| Address: | 1395 NW 167 Street, Miami Gardens, FL 33169 |
| Mail Address: | 1395 NW 167 Street, Miami Gardens, FL 33169 |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851720007 | 2013-11-08 | 2013-11-19 | 1000 PARK CENTRE BLVD #136, MIAMI, FL, 33169, US | 410 EAST HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL, 33009, US | |||||||||||||||||||||
|
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| Phone | +1 954-454-5777 |
Authorized person
| Name | DR. CHRISTOPHER JAMES CHEN |
| Role | OWNER |
| Phone | 3056286117 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME88821 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CHEN, STEPHANIE L | Agent | 1395 NW 167 Street, Miami Gardens, FL 33169 |
| Name | Role | Address |
|---|---|---|
| Chen, Mary | President | 1395 NW 167 Street, Miami Gardens, FL 33169 |
| Chen , Gordon | President | 1395 NW 167 Street, Miami Gardens, FL 33169 |
| Name | Role | Address |
|---|---|---|
| Chen , James | Vice President | 1395 NW 167 Street, Miami Gardens, FL 33169 |
| Chen, Christopher | Vice President | 1395 NW 167 Street, Miami Gardens, FL 33169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-30 | 1395 NW 167 Street, Miami Gardens, FL 33169 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-30 | 1395 NW 167 Street, Miami Gardens, FL 33169 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-30 | 1395 NW 167 Street, Miami Gardens, FL 33169 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-02-04 |
| Florida Limited Liability | 2013-10-18 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
