| Entity Name: | FIRST RESPONSE LEADS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Jun 2017 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 20 Jun 2017 (8 years ago) |
| Document Number: | L17000123090 |
| FEI/EIN Number | 821860569 |
| Address: | 12900 Sw 128 St., MIAMI, FL, 33186, US |
| Mail Address: | 12900 Sw 128 St., MIAMI, FL, 33186, US |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609559541 | 2023-08-08 | 2023-12-12 | 12900 SW 128TH ST STE 204B, MIAMI, FL, 331866274, US | 12900 SW 128TH ST STE 204B, MIAMI, FL, 331866274, US | |||||||||||||||||||||
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| Phone | +1 786-227-6020 |
| Fax | 7865442790 |
Authorized person
| Name | JUAN VELASQUEZ |
| Role | PRESIDENT |
| Phone | 7862276020 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | 11020559 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VELASQUEZ JUAN CARLOS | Agent | 9860 SW 161 AVE., MIAMI, FL, 33196 |
| Name | Role | Address |
|---|---|---|
| VELASQUEZ JUAN C | President | 12900 Sw 128 St., MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| Velasquez Alejandro | Vice President | 12900 Sw 128 St., MIAMI, FL, 33186 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000145204 | CIRCLE HEALTH CENTER | ACTIVE | 2022-11-22 | 2027-12-31 | No data | 12900 SW 128 ST., SUITE #204 B, MIAMI, FL, 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-11-22 | 12900 Sw 128 St., SUITE #204 B, MIAMI, FL 33186 | No data |
| CHANGE OF MAILING ADDRESS | 2022-11-22 | 12900 Sw 128 St., SUITE #204 B, MIAMI, FL 33186 | No data |
| LC AMENDMENT | 2017-06-20 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-30 |
| AMENDED ANNUAL REPORT | 2022-11-22 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-03-04 |
| ANNUAL REPORT | 2020-05-29 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-02-28 |
| LC Amendment | 2017-06-20 |
| Florida Limited Liability | 2017-06-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
