| Entity Name: | PROFESSIONAL HEALTH ALLIANCE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 09 Jul 2015 (10 years ago) |
| Date of dissolution: | 31 Dec 2019 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 31 Dec 2019 (5 years ago) |
| Document Number: | L15000118522 |
| FEI/EIN Number | 47-4681426 |
| Mail Address: | 1400 NW 107TH AVE, MIAMI, FL, 33172, US |
| Address: | 351 NW 42ND AVE, 503, MIAMI, FL, 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578095022 | 2017-04-03 | 2017-04-05 | 351 NW 42ND AVE, SUITE 503, MIAMI, FL, 331265683, US | 14150 SW 119TH AVE, SUITE 102, MIAMI, FL, 331866012, US | |||||||||||||||||||
|
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| Phone | +1 786-346-5644 |
| Phone | +1 305-251-4131 |
Authorized person
| Name | DR. JUAN M GARCES |
| Role | OWNER/PRESIDENT |
| Phone | 3052514131 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME45734 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GARCES JUAN M | Agent | 351 NW 42ND AVE, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| GARCES JUAN | Manager | 351 NW 42ND AVE #503, MIAMI, FL, 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-12-31 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-27 | 351 NW 42ND AVE, 503, MIAMI, FL 33126 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-12-31 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-03-27 |
| AMENDED ANNUAL REPORT | 2017-05-09 |
| AMENDED ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2017-03-14 |
| ANNUAL REPORT | 2016-04-18 |
| Florida Limited Liability | 2015-07-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
