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SOUTH DADE PRIMARY CARE, LLC

Company Details

Entity Name: SOUTH DADE PRIMARY CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Jun 2017 (8 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 27 Nov 2023 (a year ago)
Document Number: L17000132291
FEI/EIN Number 65-0490972
Address: 14750 NW 77 CT STE 100, MIAMI LAKES, FL, 33016, US
Mail Address: 14750 NW 77 CT STE 100, MIAMI LAKES, FL, 33016, US
ZIP code: 33016
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467003889 2019-09-26 2023-05-11 14750 NW 77TH CT STE 100, MIAMI LAKES, FL, 330161507, US 5901 SW 74TH ST STE 205, SOUTH MIAMI, FL, 331435150, US

Contacts

Phone +1 786-758-3165
Phone +1 305-666-8691

Authorized person

Name MARK L MULLINIX
Role CHIEF EXECUTIVE OFFICER
Phone 7867583135

Taxonomy

Taxonomy Code 332900000X - Non-Pharmacy Dispensing Site
Is Primary Yes

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 1200 S PINE ISLAND RD, PLANTATION, FL, 33324

Chief Executive Officer

Name Role Address
MULLINIX MARK L Chief Executive Officer 14750 NW 77 CT STE 100, MIAMI LAKES, FL, 33016
MULLINIX MARK Chief Executive Officer 14750 NW 77TH CT. SUITE 100, MIAMI LAKES, FL, 33016

Chief Financial Officer

Name Role Address
STEEL DANIEL Chief Financial Officer 14750 NW 77 CT STE 100, MIAMI LAKES, FL, 33016

Authorized Member

Name Role
CLAREMEDICA HEALTH PARTNERS, LLC Authorized Member

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000051265 CLAREMEDICA OF PLANTATION ACTIVE 2023-04-25 2028-12-31 No data 1806 N PINE ISLAND RD, FT LAUDERDALE, FL, 33322
G23000051266 CLAREMEDICA OF DEERFIELD BEACH ACTIVE 2023-04-25 2028-12-31 No data 1500 E HILLSBORO STE 210, DEERFIELD, FL, 33441
G23000051267 CLAREMEDICA OF PALMETTO BAY NORTH ACTIVE 2023-04-25 2028-12-31 No data 9275 SW 152ND STREET STE 204, MIAMI, FL, 33157
G23000051268 CLAREMEDICA OF HOMESTEAD ACTIVE 2023-04-25 2028-12-31 No data 15335 SW 288TH ST, HOMESTEAD, FL, 33033
G23000051269 CLAREMEDICA OF NORTH SHORE ACTIVE 2023-04-25 2028-12-31 No data 1190 NW 95TH ST STE 310, MIAMI, FL, 33150
G23000051270 CLAREMEDICA OF JACKSON SOUTH ACTIVE 2023-04-25 2028-12-31 No data 9380 SW 150 AR #100, MIAMI, FL, 33126
G23000051264 CLAREMEDICA OF PLAZA MIAMI ACTIVE 2023-04-25 2028-12-31 No data 11211 SW 152 ST, MIAMI, FL, 33176
G21000060377 CLAREMEDICA OF ANONA ACTIVE 2021-04-30 2026-12-31 No data 12294 INDIAN ROCKS RD, LARGO, FL, 33774
G20000081771 CLAREMEDICA OF OLD SEMINOLE ACTIVE 2020-07-13 2025-12-31 No data 7108 N NEBRASKA AVE, TAMPA, FL, 33604
G20000000178 CLAREMEDICA OF TAMARAC ACTIVE 2020-01-02 2025-12-31 No data 7301 N UNIVERISTY DRIVE, SUITE 204, TAMARAC, FL, 33321

Events

Event Type Filed Date Value Description
LC AMENDMENT 2023-11-27 No data No data
LC AMENDMENT 2023-06-09 No data No data
LC AMENDMENT 2023-05-18 No data No data
REGISTERED AGENT ADDRESS CHANGED 2019-12-06 1200 S PINE ISLAND RD, PLANTATION, FL 33324 No data
LC STMNT OF RA/RO CHG 2019-12-06 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-12-06 14750 NW 77 CT STE 100, MIAMI LAKES, FL 33016 No data
CHANGE OF MAILING ADDRESS 2019-12-06 14750 NW 77 CT STE 100, MIAMI LAKES, FL 33016 No data
REGISTERED AGENT NAME CHANGED 2019-12-06 CT CORPORATION SYSTEM No data
LC STMNT OF RA/RO CHG 2017-09-22 No data No data
LC AMENDMENT 2017-08-28 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-04
LC Amendment 2023-11-27
LC Amendment 2023-06-09
LC Amendment 2023-05-18
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-04-06
AMENDED ANNUAL REPORT 2021-06-10
ANNUAL REPORT 2021-01-26
ANNUAL REPORT 2020-06-02
CORLCRACHG 2019-12-06

Date of last update: 01 Feb 2025

Sources: Florida Department of State