| Entity Name: | CHEN NEIGHBORHOOD MEDICAL NORTH LAUDERDALE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Feb 2015 (10 years ago) |
| Document Number: | L15000031480 |
| FEI/EIN Number | 47-3876625 |
| Address: | 1395 NW 167th St, Miami Gardens, FL, 33169, US |
| Mail Address: | 1395 NW 167th St, Miami Gardens, FL, 33169, US |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457722696 | 2015-10-14 | 2015-10-14 | 1395 NW 167TH ST, MIAMI GARDENS, FL, 331695742, US | 6037 KIMBERLY BLVD, NORTH LAUDERDALE, FL, 330682811, US | |||||||||||||||
|
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| Phone | +1 305-628-6117 |
| Phone | +1 954-379-8994 |
Authorized person
| Name | MARY CHEN |
| Role | CHIEF OPERATING OFFICER |
| Phone | 3056210023 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Chen Christopher | Auth | 1395 NW 167th St, Miami Gardens, FL, 33169 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000152716 | CHEN SENIOR MEDICAL CENTER NORTH LAUDERDALE | ACTIVE | 2021-11-15 | 2026-12-31 | No data | 1395 N.W. 167TH STREET, MIAMI, FL, 33169 |
| G16000106618 | CHEN SENIOR MEDICAL CENTER | ACTIVE | 2016-09-28 | 2026-12-31 | No data | 1395 NW 167 STREET, MIAMI, FL, 33169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-12-06 | 1201 Hays Street, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-19 | 1395 NW 167th St, Miami Gardens, FL 33169 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-19 | 1395 NW 167th St, Miami Gardens, FL 33169 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-06-07 | CORPORATION SERVICE COMPANY | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| AMENDED ANNUAL REPORT | 2023-12-06 |
| ANNUAL REPORT | 2023-04-19 |
| Reg. Agent Change | 2022-06-07 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-03-16 |
| AMENDED ANNUAL REPORT | 2019-11-01 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-04-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
