| Entity Name: | PRIVAMEDIS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Aug 2017 (7 years ago) |
| Document Number: | L17000181672 |
| FEI/EIN Number | 82-2596125 |
| Address: | 4308 ALTON ROAD, STE 310, MIAMI BEACH, FL 33140 |
| Mail Address: | 4308 ALTON ROAD, STE 310, MIAMI BEACH, FL 33140 |
| ZIP code: | 33140 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356809057 | 2019-03-12 | 2019-06-11 | 4308 ALTON RD STE 880, MIAMI BEACH, FL, 331404560, US | 4308 ALTON RD STE 880, MIAMI BEACH, FL, 331404560, US | |||||||||||||||||||||
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| Phone | +1 305-604-2888 |
| Fax | 3056042887 |
Authorized person
| Name | GARY JOSEPH MERLINO |
| Role | PHYSICIANS / PRESIDENT |
| Phone | 3046042888 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INTERNAL MEDCINE |
| Number | NONE |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRIVAMEDIS, LLC PROFIT SHARING PLAN | 2023 | 822596125 | 2024-08-14 | PRIVAMEDIS, LLC | 6 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-08-14 |
| Name of individual signing | GARY J MERLINO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3056042888 |
| Plan sponsor’s address | 4308 ALTON ROAD, SUITE 310, MIAMI BEACH, FL, 33140 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-12 |
| Name of individual signing | GARY J MERLINO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MERLINO, GARY J | Agent | 4308 ALTON ROAD, STE 310, MIAMI BEACH, FL 33140 |
| Name | Role | Address |
|---|---|---|
| MERLINO, GARY J | Manager | 4308 ALTON ROAD, STE 310, MIAMI BEACH, FL 33140 |
| DEL VALLE, ALEJANDRO | Manager | 4308 ALTON ROAD, STE 310, MIAMI BEACH, FL 33140 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-29 | 4308 ALTON ROAD, STE 310, MIAMI BEACH, FL 33140 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-01 | 4308 ALTON ROAD, STE 310, MIAMI BEACH, FL 33140 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-01 | 4308 ALTON ROAD, STE 310, MIAMI BEACH, FL 33140 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-03-29 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-01-30 |
| AMENDED ANNUAL REPORT | 2018-12-17 |
| ANNUAL REPORT | 2018-04-28 |
| Florida Limited Liability | 2017-08-24 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
