| Entity Name: | CASTELLON MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Dec 2015 (9 years ago) |
| Document Number: | L15000212183 |
| FEI/EIN Number | 81-0898667 |
| Address: | 8100 WEST FLAGLER ST, SUITE 203, MIAMI, FL 33144 |
| Mail Address: | 8100 WEST FLAGLER ST, SUITE 203, MIAMI, FL 33144 |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447609888 | 2016-06-07 | 2016-06-07 | 16371 NW 67TH AVE, MIAMI LAKES, FL, 330146044, US | 16371 NW 67TH AVE, MIAMI LAKES, FL, 330146044, US | |||||||||||||||||||||||||||||||
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| Phone | +1 786-332-4991 |
| Fax | 7864092037 |
Authorized person
| Name | ORESTES CASTELLON |
| Role | PRESIDENT |
| Phone | 3054316315 |
Taxonomy
| Taxonomy Code | 173000000X - Legal Medicine |
| License Number | ME90692 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1902275183 |
| State | FL |
| Issuer | 1780666750 |
| Number | 1780666750 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEREZ, FRANCISCO | Agent | 8100 WEST FLAGLER ST, SUITE 203, MIAMI, FL 33144 |
| Name | Role | Address |
|---|---|---|
| PEREZ, FRANCISCO | Manager | 8100 WEST FLAGLER ST, SUITE 203 MIAMI, FL 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-09-19 | 8100 WEST FLAGLER ST, SUITE 203, MIAMI, FL 33144 | No data |
| CHANGE OF MAILING ADDRESS | 2016-09-19 | 8100 WEST FLAGLER ST, SUITE 203, MIAMI, FL 33144 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-09-19 | PEREZ, FRANCISCO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-09-19 | 8100 WEST FLAGLER ST, SUITE 203, MIAMI, FL 33144 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-29 |
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-03-16 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-28 |
| AMENDED ANNUAL REPORT | 2016-10-14 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
