| Entity Name: | BUENA AVENTURA MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 04 Jun 2015 (10 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L15000097608 |
| FEI/EIN Number | 47-4209633 |
| Address: | 20818 WEST DIXIE HIGHWAY, NORTH MIAMI BEACH, FL, 33180-1147 |
| Mail Address: | 20818 WEST DIXIE HIGHWAY, NORTH MIAMI BEACH, FL, 33180-1147 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194109447 | 2015-07-16 | 2015-07-16 | 20818 W. DIXIE HWY, NORTH MIAMI BEACH, FL, 331801147, US | 20818 W. DIXIE HWY, NORTH MIAMI BEACH, FL, 331801147, US | |||||||||||||||
|
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| Phone | +1 786-520-3382 |
| Fax | 7865132203 |
Authorized person
| Name | RODOLFO MALDONADO |
| Role | PRESIDENT |
| Phone | 7865203382 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MALDONADO RODOLFO | Agent | 20818 WEST DIXIE HWY, NORTH MIAMI BEACH, FL, 33180 |
| Name | Role | Address |
|---|---|---|
| MALDONADO RODOLFO | Authorized Member | 20818 WEST DIXIE HWY, NORTH MIAMI BEACH, FL, 331801147 |
| GIL ELSA V | Authorized Member | 20818 WEST DIXIE HWY, NORTH MIAMI BEACH, FL, 331801147 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-09-16 |
| Florida Limited Liability | 2015-06-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
