| Entity Name: | SOUTH DADE TRANSITIONAL CARE GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Feb 2019 (6 years ago) |
| Document Number: | L19000039881 |
| FEI/EIN Number | 83-3620104 |
| Address: | 975 BAPTIST WAY, HOMESTEAD, FL, 33033, US |
| Mail Address: | 10501 SW 127 STREET, MIAMI, FL, 33176, US |
| ZIP code: | 33033 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033775036 | 2019-05-15 | 2024-10-04 | PO BOX 165154, MIAMI, FL, 331165154, US | 975 BAPTIST WAY, HOMESTEAD, FL, 330337600, US | |||||||||||||||
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| Phone | +1 786-243-8073 |
| Fax | 7862438074 |
Authorized person
| Name | ABELARDO CORONA |
| Role | OWNER |
| Phone | 7862438073 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MIRANDA MARIO D | Agent | 10651 N. KENDALL DRIVE, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| ABELARDO CORONA MD PA | Member | 10501 SW 127 STREET, MIAMI, FL, 33176 |
| FRANCISCO R. FERNANDEZ DO PA | Member | 13724 SW 11 ST, MIAMI, FL, 33184 |
| MARK HERNANDEZ MD PA | Member | PO BOX 558990, MIAMI, FL, 33255 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000064016 | EXECUTIVE PHYSICIANS OF SOUTH MIAMI | ACTIVE | 2024-05-17 | 2029-12-31 | No data | P O BOX 165154, MIAMI, FL, 33116 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-01 | 975 BAPTIST WAY, HOMESTEAD, FL 33033 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-12 |
| Florida Limited Liability | 2019-02-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
