| Entity Name: | GUIDEWELL-SANITAS I, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Aug 2014 (10 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 23 Mar 2020 (5 years ago) |
| Document Number: | L14000132644 |
| FEI/EIN Number | 47-1782812 |
| Address: | 8400 N.W. 33RD STREET, SUITE 201, DORAL, FL, 33122, US |
| Mail Address: | 8400 N.W. 33RD STREET, SUITE 201, DORAL, FL, 33122, US |
| ZIP code: | 33122 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790503332 | 2024-10-02 | 2024-10-02 | 8400 NW 33RD ST STE 201, DORAL, FL, 331221937, US | 14821-14823 N FLORIDA AVE, TAMPA, FL, 33613, US | |||||||||||||
|
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| Phone | +1 844-665-4827 |
Authorized person
| Name | JUAN D ESTRADA |
| Role | CEO |
| Phone | 7869993507 |
Taxonomy
| Taxonomy Code | 207QH0002X - Hospice and Palliative Medicine (Family Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Rivera-Montoya Adriana | Agent | 8400 N.W. 33RD STREET, SUITE 201, DORAL, FL, 33122 |
| Name | Role | Address |
|---|---|---|
| Martinez Sergio | Inte | 8400 NW 33RD STREET, DORAL, FL, 33122 |
| Name | Role | Address |
|---|---|---|
| JOLLY AREZOU | Director | 8400 NW 33RD STREET, DORAL, FL, 33122 |
| Name | Role | Address |
|---|---|---|
| DIVITA CHARLES III | Auth | 8400 NW 33rd Street, DORAL, FL, 33122 |
| CHALUJA JUAN | Auth | 8400 NW 33rd Street, DORAL, FL, 33122 |
| Schrader Elana Dr. | Auth | 8400 N.W. 33RD STREET, SUITE 201, DORAL, FL, 33122 |
| Perez Javier | Auth | 8400 NW 33RD STREET, DORAL, FL, 33122 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000117179 | FLORIDA BLUE SANITAS PRIMARY CARE | ACTIVE | 2024-09-18 | 2029-12-31 | No data | 8400 NW 33RD ST, STE 201, MIAMI, FL, 33122 |
| G24000036000 | SANITAS MEDICAL CENTER FOR MEMBERS OF FLORIDA BLUE | ACTIVE | 2024-03-11 | 2029-12-31 | No data | 8400 NW 33RD ST, STE 201, MIAMI, FL, 33122 |
| G17000083927 | SANITAS | ACTIVE | 2017-08-04 | 2027-12-31 | No data | 8400 NW 33 STREET, SUITE 201, DORAL, FL, 33122 |
| G15000072593 | CLINISANITAS | EXPIRED | 2015-07-13 | 2020-12-31 | No data | 8400 NW 33RD STREET, SUITE 100, DORAL, FL, 33122 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-02 | 8400 N.W. 33RD STREET, SUITE 201, DORAL, FL 33122 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-02-02 | Rivera-Montoya , Adriana | No data |
| LC AMENDMENT | 2020-03-23 | No data | No data |
| LC AMENDMENT | 2020-01-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-10-14 | 8400 N.W. 33RD STREET, SUITE 201, DORAL, FL 33122 | No data |
| LC STMNT OF RA/RO CHG | 2019-10-14 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2019-10-14 | 8400 N.W. 33RD STREET, SUITE 201, DORAL, FL 33122 | No data |
| LC AMENDMENT | 2019-10-03 | No data | No data |
| REINSTATEMENT | 2019-10-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-02 |
| AMENDED ANNUAL REPORT | 2024-09-11 |
| ANNUAL REPORT | 2024-02-01 |
| AMENDED ANNUAL REPORT | 2023-04-26 |
| AMENDED ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-11 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-05-20 |
| LC Amendment | 2020-03-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
