Search icon

MIAVIP MEDICAL STAFFING LLC

Company Details

Entity Name: MIAVIP MEDICAL STAFFING LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Jun 2017 (8 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 06 Mar 2024 (a year ago)
Document Number: L17000136309
FEI/EIN Number 82-1894886
Address: 5944 Coral Ridge Dr, CORAL SPRINGS, FL, 33076, US
Mail Address: 5944 Coral Ridge Dr, CORAL SPRINGS, FL, 33076, US
ZIP code: 33076
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184184673 2019-03-21 2019-03-25 5944 CORAL RIDGE DR # 170, CORAL SPRINGS, FL, 330763300, US 7600 SW 87TH AVE, MIAMI, FL, 331733601, US

Contacts

Phone +1 954-800-7350
Fax 9548270852

Authorized person

Name JUSTIN BARACK
Role OWNER
Phone 9548007350

Taxonomy

Taxonomy Code 207L00000X - Anesthesiology Physician
Is Primary Yes

Agent

Name Role
CAPITOL CORPORATE SERVICES, INC. Agent

Manager

Name Role Address
BARACK JUSTIN Manager 5944 Coral Ridge Dr, CORAL SPRINGS, FL, 33076

Vice President

Name Role Address
BARACK STEPHANIE Vice President 5944 Coral Ridge Dr, CORAL SPRINGS, FL, 33076

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2024-03-06 No data No data
REGISTERED AGENT NAME CHANGED 2024-03-06 CAPITOL CORPORATE SERVICES, INC. No data
REGISTERED AGENT ADDRESS CHANGED 2024-03-06 515 EAST PARK AVE., 2ND FL, TALLAHASSEE, FL 32301 No data
CHANGE OF PRINCIPAL ADDRESS 2023-03-03 5944 Coral Ridge Dr, 170, CORAL SPRINGS, FL 33076 No data
CHANGE OF MAILING ADDRESS 2023-03-03 5944 Coral Ridge Dr, 170, CORAL SPRINGS, FL 33076 No data
LC STMNT OF RA/RO CHG 2022-09-15 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-05
CORLCRACHG 2024-03-06
Reg. Agent Resignation 2023-12-04
ANNUAL REPORT 2023-03-03
CORLCRACHG 2022-09-15
ANNUAL REPORT 2022-03-04
ANNUAL REPORT 2021-01-14
ANNUAL REPORT 2020-03-18
AMENDED ANNUAL REPORT 2019-05-02
ANNUAL REPORT 2019-02-13

Date of last update: 03 Feb 2025

Sources: Florida Department of State