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UPRIGHT MSO, LLC

Company Details

Entity Name: UPRIGHT MSO, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Apr 2016 (9 years ago)
Document Number: L16000085214
Address: 17620 SW 102ND AVE, MIAMI, FL, 33157
Mail Address: 17620 SW 102ND AVE, MIAMI, FL, 33157
ZIP code: 33157
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982059663 2016-04-29 2016-04-29 17620 SW 102ND AVE, MIAMI, FL, 331575213, US 17620 SW 102ND AVE, MIAMI, FL, 331575213, US

Contacts

Phone +1 786-429-3074

Authorized person

Name GHANA KIRKSEY
Role CEO
Phone 7867971978

Taxonomy

Taxonomy Code 302R00000X - Health Maintenance Organization
Is Primary Yes

Agent

Name Role Address
KIRKSEY GHANA Agent 17620 SW 102ND AVE, MIAMI, FL, 33157

Manager

Name Role Address
KIRKSEY GHANA Manager 17620 SW 102ND AVE, MIAMI, FL, 33157

Documents

Name Date
Florida Limited Liability 2016-04-29

Date of last update: 02 Feb 2025

Sources: Florida Department of State