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SEPA 2, LLC

Company Details

Entity Name: SEPA 2, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 27 Jun 2017 (8 years ago)
Document Number: L17000139741
FEI/EIN Number 35-2598924
Address: 10621 N KENDALL DRIVE, MIAMI, FL, 33176, US
Mail Address: 2103 Coral Way, 2nd Floor, Coral Gables, FL, 33145, US
ZIP code: 33176
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710486501 2018-02-07 2018-02-07 10621 N KENDALL DR STE 211, MIAMI, FL, 331761530, US 10621 N KENDALL DR STE 211, MIAMI, FL, 331761530, US

Contacts

Phone +1 305-596-4288
Fax 3055966378

Authorized person

Name MR. RENE F GOMEZ
Role CEO
Phone 3055964288

Taxonomy

Taxonomy Code 302F00000X - Exclusive Provider Organization
Is Primary Yes

Agent

Name Role
AXEN HEALTH, INC. Agent

Manager

Name Role Address
De Jesus Ivan D Manager 2103 Coral Way, Coral Gables, FL, 33145

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-05-01 10621 N KENDALL DRIVE, Suite 211, MIAMI, FL 33176 No data
REGISTERED AGENT NAME CHANGED 2023-05-01 AXEN Health, Inc. No data
REGISTERED AGENT ADDRESS CHANGED 2023-05-01 2103 Coral Way, 2nd Floor, Coral Gables, FL 33145 No data
CHANGE OF PRINCIPAL ADDRESS 2019-02-01 10621 N KENDALL DRIVE, Suite 211, MIAMI, FL 33176 No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
AMENDED ANNUAL REPORT 2023-09-19
AMENDED ANNUAL REPORT 2023-08-29
AMENDED ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2023-04-05
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-03-24
ANNUAL REPORT 2020-03-13
ANNUAL REPORT 2019-02-01
ANNUAL REPORT 2018-03-27

Date of last update: 01 Feb 2025

Sources: Florida Department of State