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GALEN MEDICAL CENTER LLC

Company Details

Entity Name: GALEN MEDICAL CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 15 Aug 2016 (8 years ago)
Date of dissolution: 28 Sep 2018 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (6 years ago)
Document Number: L16000152364
FEI/EIN Number 81-3581042
Address: 1400 NW 12TH AVE, MIAMI, FL, 33136
Mail Address: 1400 NW 12TH AVE, MIAMI, FL, 33136
ZIP code: 33136
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780129718 2016-12-29 2016-12-29 3565 SW 132ND AVE, MIAMI, FL, 331752825, US 13155 SW 42ND ST STE 111&112, MIAMI, FL, 331753428, US

Contacts

Phone +1 305-960-7668
Fax 7868010165

Authorized person

Name DR. MARISOL ALVAREZ LEON
Role PRESIDENT
Phone 3055888457

Taxonomy

Taxonomy Code 302R00000X - Health Maintenance Organization
State FL
Is Primary Yes

Agent

Name Role Address
MARISOL ALVAREZ LEON Agent 1400 NW 12TH AVE, MIAMI, FL, 33136

Authorized Member

Name Role Address
MARISOL ALVAREZ LEON Authorized Member 1400 NW 12TH AVE, MIAMI, FL, 33136
RODRIGUEZ CARLOS M Authorized Member 1400 NW 12TH AVE, MIAMI, FL, 33136

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data

Documents

Name Date
ANNUAL REPORT 2017-04-14
Florida Limited Liability 2016-08-15

Date of last update: 02 Feb 2025

Sources: Florida Department of State