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CHEN NEIGHBORHOOD MEDICAL OF SOUTH LAKELAND, LLC - Florida Company Profile

Company Details

Entity Name: CHEN NEIGHBORHOOD MEDICAL OF SOUTH LAKELAND, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

CHEN NEIGHBORHOOD MEDICAL OF SOUTH LAKELAND, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 01 Mar 2016 (9 years ago)
Document Number: L16000043356
FEI/EIN Number 32-0488609

Federal Employer Identification (FEI) Number assigned by the IRS.

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

Key Officers & Management

Name Role Address
CORPORATION SERVICE COMPANY Agent -
CHEN CHRISTOPHER Auth 1395 NW 167th St, Miami Gardens, FL, 33169

National Provider Identifier

NPI Number:
1801258447

Authorized Person:

Name:
DINA VALLADARES
Role:
MANAGER OF CREDENTIALING
Phone:

Taxonomy:

Selected Taxonomy:
332900000X - Non-Pharmacy Dispensing Site
Is Primary:
No
Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000100820 DEDICATED SENIOR MEDICAL CENTER ACTIVE 2016-09-14 2026-12-31 - 1395 NW 167TH STREET, MIAMI, FL, 33169
G16000055754 DEDICATED SENIOR HEALTHCARE ACTIVE 2016-06-06 2026-12-31 - 1395 NW 167TH STREET, MIAMI, FL, 33169

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-19 1395 NW 167th St, Miami Gardens, FL 33169 -
CHANGE OF MAILING ADDRESS 2023-04-19 1395 NW 167th St, Miami Gardens, FL 33169 -
REGISTERED AGENT NAME CHANGED 2022-06-07 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2022-06-07 1201 HAYS STREET, TALLAHASSEE, FL 32301 -

Documents

Name Date
ANNUAL REPORT 2025-02-05
ANNUAL REPORT 2024-04-17
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 2018-04-13

Date of last update: 02 Jun 2025

Sources: Florida Department of State