| Entity Name: | CENTRO DE SALUD PRIMARIA LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Nov 2016 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 13 Jun 2017 (8 years ago) |
| Document Number: | L16000214487 |
| FEI/EIN Number | 81-4538747 |
| Address: | 4801 HOLLYWOOD BLVD, STE B, HOLLYWOOD, FL 33021 |
| Mail Address: | 4801 HOLLYWOOD BLVD, STE B, HOLLYWOOD, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649706110 | 2017-05-03 | 2017-05-03 | 4801 HOLLYWOOD BLVD, SUITE B, HOLLYWOOD, FL, 330216545, US | 4801 HOLLYWOOD BLVD, SUITE B, HOLLYWOOD, FL, 330216545, US | |||||||||||||
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| Phone | +1 954-927-5382 |
Authorized person
| Name | ANDRES OZUAL |
| Role | MANAGER |
| Phone | 9549275382 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIAZ-OZUAL, RUTH N | Agent | 8752 NW 109TH TERRACE, HIALEAH GARDENS, FL 33018 |
| Name | Role | Address |
|---|---|---|
| OZUAL, ANDRES | Manager | 8752 NW 109TH TERRACE, HIALEAH GARDENS, FL 33018 |
| Diaz-Ozual, Ruth N | Manager | 8752 NW 109 Terrace, Hialeah Gardens, FL 33018 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2017-06-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-06-13 | 4801 HOLLYWOOD BLVD, STE B, HOLLYWOOD, FL 33021 | No data |
| CHANGE OF MAILING ADDRESS | 2017-06-13 | 4801 HOLLYWOOD BLVD, STE B, HOLLYWOOD, FL 33021 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-03-06 |
| ANNUAL REPORT | 2019-03-14 |
| ANNUAL REPORT | 2018-01-16 |
| LC Amendment | 2017-06-13 |
| ANNUAL REPORT | 2017-02-11 |
| Florida Limited Liability | 2016-11-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7679027302 | 2020-04-30 | 0455 | PPP | 4801 HOLLYWOOD BLVD SUITE B, HOLLYWOOD, FL, 33021 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 18 Feb 2025
Sources: Florida Department of State
