| Entity Name: | PURA VIDA MEDICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 May 2017 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 26 Dec 2019 (5 years ago) |
| Document Number: | L17000105995 |
| FEI/EIN Number | 82-1486643 |
| Address: | 7925 N.W. 12 STREET, DORAL, FL, 33126, US |
| Mail Address: | 7925 N.W. 12 STREET, DORAL, FL, 33126, US |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124646898 | 2020-07-09 | 2020-07-09 | 7925 NW 12TH ST STE 201, DORAL, FL, 331261821, US | 15529 BULL RUN RD, MIAMI LAKES, FL, 330147004, US | |||||||||||||||||||
|
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| Phone | +1 305-874-3909 |
| Fax | 3058743916 |
| Phone | +1 305-328-8922 |
| Fax | 7862246489 |
Authorized person
| Name | MISS NURY CARBAJAL |
| Role | CEO |
| Phone | 3058743909 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Garcia Carlos | Agent | 7925 N.W. 12 STREET, DORAL, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| GARCIA CARLOS o | Manager | 7925 NW 12th Street 201, Doral, FL, 33126 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000074032 | CENTERS OF MEDICAL EXCELLENCE | ACTIVE | 2021-06-02 | 2026-12-31 | No data | 7925 NW 12TH STREET, SUITE 201, DORAL, FL, 33126 |
| G20000055948 | MAXCARE MEDICAL CENTERS | ACTIVE | 2020-05-20 | 2025-12-31 | No data | 7925 N.W. 12 STREET, STE 201, DORAL, FL, 33126 |
| G17000120486 | GALEN MEDICAL CENTER LLC | EXPIRED | 2017-11-01 | 2022-12-31 | No data | 1738 W 49 STREET #12, HIALEAH, FL, 33012 |
| G17000098841 | VARADERO MEDICAL CENTER OF MIAMI | EXPIRED | 2017-08-30 | 2022-12-31 | No data | 5850 WEST FLAGLER STREET, MIAMI, FL, 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-03 | Garcia, Carlos | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-04 | 7925 N.W. 12 STREET, SUITE 201, DORAL, FL 33126 | No data |
| LC AMENDMENT | 2019-12-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-12-26 | 7925 N.W. 12 STREET, SUITE 201, DORAL, FL 33126 | No data |
| CHANGE OF MAILING ADDRESS | 2019-12-26 | 7925 N.W. 12 STREET, SUITE 201, DORAL, FL 33126 | No data |
| LC AMENDMENT | 2019-06-12 | No data | No data |
| LC AMENDMENT | 2019-05-01 | No data | No data |
| LC AMENDMENT | 2017-08-11 | No data | No data |
| LC AMENDMENT | 2017-05-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-02-04 |
| LC Amendment | 2019-12-26 |
| LC Amendment | 2019-06-12 |
| LC Amendment | 2019-05-01 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-05-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
