| Entity Name: | PEDRO SEVILLA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Mar 2016 (9 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 25 Mar 2020 (5 years ago) |
| Document Number: | L16000049578 |
| FEI/EIN Number | 811831574 |
| Address: | 7000 SW 97th Ave, Suite 120, MIAMI, FL, 33173, US |
| Mail Address: | 7000 SW 97th Ave, Suite 120, MIAMI, FL, 33173, US |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629430756 | 2016-03-28 | 2019-04-25 | PO BOX 562435, MIAMI, FL, 332562435, US | 7000 SW 97TH AVE STE 120, MIAMI, FL, 331731474, US | |||||||||||||||||||||||||||||
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| Phone | +1 786-299-5419 |
| Fax | 8444316801 |
Authorized person
| Name | DR. PEDRO A SEVILLA SAEZ-BENITO |
| Role | OWNER |
| Phone | 7862995419 |
Taxonomy
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | R9V8A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SEVILLA SAEZ-BENITO PEDRO AM.D. | Agent | 7000 SW 97th Ave, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| SEVILLA SAEZ-BENITO PEDRO AM.D. | Authorized Member | 7000 SW 97TH AVE, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ MICHAEL JMD | Manager | 7000 SW 97th Ave, MIAMI, FL, 33173 |
| SOSA ANDRES FM.D. | Manager | 7000 SW 97TH AVE, MIAMI, FL, 33173 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000050499 | MIAMI PULMONARY SPECIALISTS | ACTIVE | 2023-04-20 | 2028-12-31 | No data | 7000 SW 97 AVE # 120, MIAMI, FL, 33173 |
| G17000031426 | MIAMI PULMONARY SPECIALISTS | EXPIRED | 2017-03-24 | 2022-12-31 | No data | PO BOX 562435, MIAMI, FL, 33256 |
| G16000094345 | PULMONARY WELLNESS GROUP | EXPIRED | 2016-08-30 | 2021-12-31 | No data | PO BOX 562435, MIAMI, FL, 33256--243 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2020-03-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-03-25 | 7000 SW 97th Ave, Suite 120, MIAMI, FL 33173 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-25 | SEVILLA SAEZ-BENITO, PEDRO A, M.D. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-12 | 7000 SW 97th Ave, Suite 120, MIAMI, FL 33173 | No data |
| LC AMENDMENT | 2017-06-12 | No data | No data |
| LC AMENDMENT | 2016-08-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-30 |
| LC Amendment | 2020-03-25 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-02-12 |
| LC Amendment | 2017-06-12 |
| ANNUAL REPORT | 2017-03-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
