| Entity Name: | CEPHAS MEDICAL CENTER, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Aug 2018 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 22 Mar 2023 (2 years ago) |
| Document Number: | L18000204095 |
| FEI/EIN Number | 83-1867348 |
| Address: | 12264 Tamiami Tr. E, Naples, FL, 34113, US |
| Mail Address: | 12264 Tamiami Tr. E, Naples, FL, 34113, US |
| ZIP code: | 34113 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811682511 | 2023-04-07 | 2023-04-07 | PO BOX 3814, NORTH FORT MYERS, FL, 339183814, US | 13271 SEASIDE HARBOUR DR, FORT MYERS, FL, 339037118, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 786-210-7055 |
Authorized person
| Name | DR. PEDRO PABLO MARTIN |
| Role | MEDICAL DIRECTOR |
| Phone | 7862107843 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTIN PEDRO PM.D. | Agent | 12264 Tamiami Trail E, NAPLES, FL, 34113 |
| Name | Role | Address |
|---|---|---|
| MARTIN PEDRO DR. | Authorized Member | 12264 TAMIAMI TRAIL E. SUITE 203, NAPLES, FL, 34113 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-27 | 12264 Tamiami Trail E, STE 203, NAPLES, FL 34113 | No data |
| CHANGE OF MAILING ADDRESS | 2023-07-25 | 12264 Tamiami Tr. E, Suite 203, Naples, FL 34113 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-07-18 | 12264 Tamiami Tr. E, Suite 203, Naples, FL 34113 | No data |
| REINSTATEMENT | 2023-03-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-03-22 | MARTIN, PEDRO P, M.D. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-27 |
| REINSTATEMENT | 2023-03-22 |
| ANNUAL REPORT | 2019-02-15 |
| Florida Limited Liability | 2018-08-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
