| Entity Name: | LUNG & CRITICAL CARE SPECIALISTS OF SOUTH FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Jan 2014 (11 years ago) |
| Document Number: | L14000013747 |
| FEI/EIN Number | 46-4635360 |
| Address: | 12905 SW 42ND ST, MIAMI, FL, 33175, US |
| Mail Address: | 12905 SW 42ND ST, MIAMI, FL, 33175, US |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750709622 | 2014-03-28 | 2014-03-28 | 12745 NW 8TH LN, MIAMI, FL, 331821858, US | 12905 SW 42ND ST, MIAMI, FL, 331752905, US | |||||||||||||||||||||
|
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| Phone | +1 305-332-3442 |
Authorized person
| Name | DR. JAVIER GONZALEZ |
| Role | MANAGER |
| Phone | 3053323442 |
Taxonomy
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GONZALEZ JAVIER | Agent | 12905 SW 42ND ST, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ JAVIER | Manager | 12905 SW 42ND ST, MIAMI, FL, 33175 |
| AVECILLAS JAIME F | Manager | 12905 SW 42ND ST, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-08 | 12905 SW 42ND ST, SUITE 213, MIAMI, FL 33175 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-08 | 12905 SW 42ND ST, SUITE 213, MIAMI, FL 33175 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-08 | 12905 SW 42ND ST, SUITE 213, MIAMI, FL 33175 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-02-17 |
| ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-01-23 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-04-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
