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PATRIOT HOLISTIC MEDICAL SERVICES LLC

Company Details

Entity Name: PATRIOT HOLISTIC MEDICAL SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 13 Aug 2018 (6 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: L18000193187
Address: 10795 NW 50 ST, 308, MIAMI, FL 33178
Mail Address: 10795 NW 50 ST, 308, MIAMI, FL 33178
ZIP code: 33178
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457826695 2018-10-03 2018-10-03 10795 NW 50TH ST APT 308, DORAL, FL, 331783972, US 10795 NW 50TH ST APT 308, DORAL, FL, 331783972, US

Contacts

Phone +1 305-677-6498

Authorized person

Name HECTOR E RODRIGUEZ
Role SOLE MBR
Phone 3056776498

Taxonomy

Taxonomy Code 171100000X - Acupuncturist
Is Primary Yes
Taxonomy Code 225700000X - Massage Therapist
Is Primary No

Agent

Name Role Address
RODRIGUEZ, HECTOR E Agent 10795 NW 50 ST, 308, MIAMI, FL 33178

Authorized Member

Name Role Address
RODRIGUEZ, HECTOR E Authorized Member 10795 NW 50 ST, MIAMI, FL 33178

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000090813 PATRIOT HOLISTIC CLINIC EXPIRED 2018-08-15 2023-12-31 No data 10795 NW 50TH ST APT 308, MIAMI, FL, 33178

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data

Documents

Name Date
Florida Limited Liability 2018-08-13

Date of last update: 17 Jan 2025

Sources: Florida Department of State