| Entity Name: | HEALTHNET MEDICAL , LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Jan 2014 (11 years ago) |
| Document Number: | L14000008066 |
| FEI/EIN Number | 46-4562960 |
| Address: | 8504 NW 103 ST, HIALEAH GARDENS, FL, 33016, US |
| Mail Address: | 8504 NW 103 ST, HIALEAH GARDENS, FL, 33016, US |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972923647 | 2014-04-22 | 2014-04-22 | 8660 W FLAGLER ST, SUITE 111, MIAMI, FL, 331442031, US | 8660 W FLAGLER ST, SUITE 111, MIAMI, FL, 331442031, US | |||||||||||||||
|
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| Phone | +1 305-753-9075 |
| Fax | 3059011716 |
Authorized person
| Name | MR. MIKE RICHARD MOYA |
| Role | CREDENTIALING |
| Phone | 3056678007 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| PEDRO L. GUERRA, BBA EA INC. | Agent |
| Name | Role | Address |
|---|---|---|
| EBRAN-GONZALEZ RAUL | Managing Member | 9225 COLLINS AVE, SURFSIDE, FL, 331541420 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-06-13 | 8504 NW 103 ST, HIALEAH GARDENS, FL 33016 | No data |
| CHANGE OF MAILING ADDRESS | 2019-06-13 | 8504 NW 103 ST, HIALEAH GARDENS, FL 33016 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-09 | PEDRO L GUERRA BBA EA INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-09 | 85 GRAND CANAL DR ., SUITE 106, MIAMI, FL 33144 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-05-06 |
| ANNUAL REPORT | 2019-06-13 |
| ANNUAL REPORT | 2018-04-04 |
| ANNUAL REPORT | 2017-04-15 |
| ANNUAL REPORT | 2016-04-09 |
| ANNUAL REPORT | 2015-04-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
