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PREVENTIMED LLC

Company Details

Entity Name: PREVENTIMED LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 24 Aug 2016 (8 years ago)
Document Number: L16000159258
FEI/EIN Number 81-3655891
Address: 806 South Douglas Road, STE 700, CORAL GABLES, FL 33134
Mail Address: 806 South Douglas Road, STE 700, CORAL GABLES, FL 33134
ZIP code: 33134
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578015913 2016-11-02 2016-11-02 1533 SUNSET DR, SUITE 200, CORAL GABLES, FL, 331435700, US 1533 SUNSET DR, SUITE 200, CORAL GABLES, FL, 331435700, US

Contacts

Phone +1 305-665-7666
Fax 3056637992

Authorized person

Name DR. CHARLES FERNANDO YANES
Role PRESIDENT
Phone 3056657666

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME0075005
State FL
Is Primary Yes

Agent

Name Role Address
Auerbach, Marc H Agent 806 South Douglas Road, STE 700, CORAL GABLES, FL 33134

Chief Executive Officer

Name Role Address
Rodriguez, Roger Chief Executive Officer 806 South Douglas Road, STE 700 CORAL GABLES, FL 33134

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-02 806 South Douglas Road, STE 700, CORAL GABLES, FL 33134 No data
CHANGE OF MAILING ADDRESS 2022-02-02 806 South Douglas Road, STE 700, CORAL GABLES, FL 33134 No data
REGISTERED AGENT NAME CHANGED 2022-02-02 Auerbach, Marc H No data
REGISTERED AGENT ADDRESS CHANGED 2022-02-02 806 South Douglas Road, STE 700, CORAL GABLES, FL 33134 No data

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-02-02
ANNUAL REPORT 2021-03-26
ANNUAL REPORT 2020-05-12
ANNUAL REPORT 2019-02-22
ANNUAL REPORT 2018-01-26
AMENDED ANNUAL REPORT 2017-03-27
ANNUAL REPORT 2017-03-23
Florida Limited Liability 2016-08-24

Date of last update: 19 Jan 2025

Sources: Florida Department of State