| Entity Name: | SEPA DORAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SEPA DORAL, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 16 May 2017 (8 years ago) |
| Date of dissolution: | 08 Jun 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Jun 2020 (5 years ago) |
| Document Number: | L17000108952 |
| FEI/EIN Number |
32-0533841
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8000 NW 21ST ST., SUITE 200, MIAMI, FL, 33122-1620, US |
| Mail Address: | 10621 N Kendall Drive, MIAMI, FL, 33176-1530, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396265583 | 2017-06-20 | 2022-07-21 | 8000 NW 21ST ST STE 221, DORAL, FL, 331221620, US | 8000 NW 21ST ST STE 221, DORAL, FL, 331221620, US | |||||||||||||||||||||
|
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| Phone | +1 305-596-4288 |
Authorized person
| Name | MR. GERAL M COHEN |
| Role | EXECUTIVE VICE PRESIDENT |
| Phone | 3055964288 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | APPLIED FOR PROVIDER NUMBERS |
| Number | 0 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GOMEZ RENE FCEO | Chief Executive Officer | 10621 N Kendall Drive, MIAMI, FL, 331761530 |
| GOMEZ RENE FCEO | Agent | 10621 N Kendall Drive, MIAMI, FL, 331761530 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-08 | - | - |
| CHANGE OF MAILING ADDRESS | 2019-02-01 | 8000 NW 21ST ST., SUITE 200, MIAMI, FL 33122-1620 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-01 | 10621 N Kendall Drive, Suite 211, MIAMI, FL 33176-1530 | - |
| REGISTERED AGENT NAME CHANGED | 2019-02-01 | GOMEZ, RENE F, CEO | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-08-18 | 8000 NW 21ST ST., SUITE 200, MIAMI, FL 33122-1620 | - |
| LC AMENDMENT | 2017-06-26 | - | - |
| LC NAME CHANGE | 2017-06-07 | SEPA DORAL, LLC | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-08 |
| ANNUAL REPORT | 2019-02-01 |
| ANNUAL REPORT | 2018-01-16 |
| LC Amendment | 2017-06-26 |
| LC Name Change | 2017-06-07 |
| Florida Limited Liability | 2017-05-16 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
