Entity Name: | CONSALUD MEDICAL CENTER, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 31 Aug 2018 (6 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 25 Feb 2019 (6 years ago) |
Document Number: | L18000209404 |
FEI/EIN Number | 83-1804447 |
Address: | 4160 WEST 16TH AVE., 503, HIALEAH, FL, 33012 |
Mail Address: | 4160 WEST 16TH AVE., 503, HIALEAH, FL, 33012, UN |
ZIP code: | 33012 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1376012864 | 2018-11-14 | 2018-11-14 | 4160 W 16TH AVE, HIALEAH, FL, 330125853, US | 4160 W 16TH AVE, HIALEAH, FL, 330125853, US | |||||||||||||
|
Phone | +1 305-725-7653 |
Authorized person
Name | MRS. ISABEL CLARK |
Role | PRACTICE MANAGER |
Phone | 3057257653 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
IZQUIERDO AND LEON LAW, PLLC | Agent | 13701 SW 88TH STREET, MIAMI, FL, 33186 |
Name | Role | Address |
---|---|---|
HURTADO CARLOS A | Manager | 4160 west 16 ave suite 503, hialeah, FL, 33012 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC AMENDMENT | 2019-02-25 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-02 |
ANNUAL REPORT | 2023-01-17 |
ANNUAL REPORT | 2022-01-22 |
ANNUAL REPORT | 2021-01-30 |
ANNUAL REPORT | 2020-01-31 |
LC Amendment | 2019-02-25 |
ANNUAL REPORT | 2019-02-05 |
Florida Limited Liability | 2018-08-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State