| Entity Name: | VERSANT MEDICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Sep 2014 (10 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L14000148251 |
| Address: | 10404 W. FLAGLER STREET, STE 15, MIAMI, FL, 33174 |
| Mail Address: | 10404 W. FLAGLER STREET, STE 15, MIAMI, FL, 33174 |
| ZIP code: | 33174 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083016653 | 2014-09-25 | 2014-09-25 | 10404 WEST FLAGLER ST STE 15, MIAMI, FL, 33174, US | 10404 WEST FLAGLER ST STE 15, MIAMI, FL, 33174, US | |||||||||||||
|
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| Phone | +1 786-479-3305 |
Authorized person
| Name | MR. JOHNY HAWKINS |
| Role | PRESIDENT |
| Phone | 7864793305 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HAWKINS JOHNY | Agent | 10404 W. FLAGLER STREET, MIAMI, FL, 33174 |
| Name | Role | Address |
|---|---|---|
| HAWKINS JOHNY | President | 10404 W. FLAGLER STREET STE 15, MIAMI, FL, 33174 |
| Name | Role | Address |
|---|---|---|
| JOSE LUIS MONTOYA | Vice President | 10404 W. FLAGLER STREET STE 15, MIAMI, FL, 33174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2014-09-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
