| Entity Name: | MEDISUN 62 MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 21 Jul 2017 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 11 Dec 2023 (a year ago) |
| Document Number: | L17000156717 |
| FEI/EIN Number | 82-2248409 |
| Address: | 180 NW 62 STREET, MIAMI, FL 33150 |
| Mail Address: | 180 NW 62 STREET, MIAMI, FL 33150 |
| ZIP code: | 33150 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184404923 | 2023-09-29 | 2023-09-29 | 180 NW 62ND ST, MIAMI, FL, 331504543, US | 180 NW 62ND ST, MIAMI, FL, 331504543, US | |||||||||||||||
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| Phone | +1 786-350-5583 |
| Fax | 7863641979 |
Authorized person
| Name | ALEXIS SCHLOETER |
| Role | AUTHORIZED OFFICIAL |
| Phone | 7863505583 |
Taxonomy
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIAZ, GUILLERMO | Agent | 10041 SW 40TH STREET, MIAMI, FL 33165 |
| Name | Role | Address |
|---|---|---|
| ALEXIS, SCHLOETER | Manager | 180 NW 62 STREET, MIAMI, FL 33150 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000102095 | MEDISUN MEDICAL CENTER | ACTIVE | 2021-08-05 | 2026-12-31 | No data | 180 NW 62 STREET, MIAMI, FL, 33150 |
| G18000042880 | MEDISUN | ACTIVE | 2018-04-02 | 2028-12-31 | No data | 180 NW 62 STREET, MIAMI, FL, 33150 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-12-11 | No data | No data |
| LC AMENDMENT | 2023-05-02 | No data | No data |
| LC AMENDMENT | 2019-12-10 | No data | No data |
| LC AMENDMENT | 2018-08-24 | No data | No data |
| LC AMENDMENT | 2018-07-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-06 | 180 NW 62 STREET, MIAMI, FL 33150 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-06 | 180 NW 62 STREET, MIAMI, FL 33150 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| LC Amendment | 2023-12-11 |
| LC Amendment | 2023-05-02 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-14 |
| LC Amendment | 2019-12-10 |
| ANNUAL REPORT | 2019-02-08 |
| LC Amendment | 2018-08-24 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
