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MATMED LLC

Company Details

Entity Name: MATMED LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Oct 2015 (9 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 07 Oct 2016 (8 years ago)
Document Number: L15000178778
FEI/EIN Number 47-5388484
Address: 9066 sw 73 ct PH2404, MIAMI, FL, 33156, US
Mail Address: 9066 sw 73 ct PH2404, MIAMI, FL, 33156, US
ZIP code: 33156
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992531750 2024-09-10 2024-09-10 9066 SW 73RD CT PH 2404, PINECREST, FL, 331562972, US 13302 WINDING OAK CT STE A, TAMPA, FL, 336123425, US

Contacts

Phone +1 786-808-8555
Fax 7863601100

Authorized person

Name MIGUEL ANGEL TELLERIA
Role PRESIDENT
Phone 3052052306

Taxonomy

Taxonomy Code 207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary Yes
Taxonomy Code 208VP0014X - Interventional Pain Medicine Physician
Is Primary No

Agent

Name Role Address
TELLERIA MIGUEL A Agent 9066 sw 73 ct PH2404, MIAMI, FL, 33156

Manager

Name Role Address
telleria miguel aDr. Manager 9066 sw 73 ct PH2404, MIAMI, FL, 33156

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-01-27 9066 sw 73 ct PH2404, MIAMI, FL 33156 No data
CHANGE OF MAILING ADDRESS 2020-01-27 9066 sw 73 ct PH2404, MIAMI, FL 33156 No data
REGISTERED AGENT ADDRESS CHANGED 2020-01-27 9066 sw 73 ct PH2404, MIAMI, FL 33156 No data
REINSTATEMENT 2016-10-07 No data No data
REGISTERED AGENT NAME CHANGED 2016-10-07 TELLERIA, MIGUEL A No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-01-29
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-02-10
ANNUAL REPORT 2017-07-07
REINSTATEMENT 2016-10-07
Florida Limited Liability 2015-10-21

Date of last update: 02 Feb 2025

Sources: Florida Department of State