| Entity Name: | FAMILIAR MEDICAL CENTER, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Feb 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 23 Aug 2022 (3 years ago) |
| Document Number: | L19000042130 |
| FEI/EIN Number | 83-3645469 |
| Address: | 777 E 25 ST STE 101, HIALEAH, FL 33013 |
| Mail Address: | 777 E 25 ST STE 101, HIALEAH, FL 33013 |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902458979 | 2019-07-10 | 2020-07-16 | 777 E 25TH ST STE 101, HIALEAH, FL, 330133804, US | 777 E 25TH ST STE 101, HIALEAH, FL, 330133804, US | |||||||||||||||
|
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| Phone | +1 786-718-9661 |
| Phone | +1 786-953-5695 |
Authorized person
| Name | DR. JORGE DIAZ VALDES |
| Role | MEMBER |
| Phone | 7869535695 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, CARLOS M | Agent | 777 E 25 ST STE 101, HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| JORGE DIAZ VALDES MD | Manager | 777 E 25 ST STE 101, HIALEAH, FL 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2022-08-23 | No data | No data |
| LC AMENDMENT | 2019-12-09 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-12-09 | 777 E 25 ST STE 101, HIALEAH, FL 33013 | No data |
| CHANGE OF MAILING ADDRESS | 2019-12-09 | 777 E 25 ST STE 101, HIALEAH, FL 33013 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-12-09 | 777 E 25 ST STE 101, HIALEAH, FL 33013 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-09 |
| AMENDED ANNUAL REPORT | 2023-10-17 |
| AMENDED ANNUAL REPORT | 2023-05-18 |
| ANNUAL REPORT | 2023-04-14 |
| LC Amendment | 2022-08-23 |
| ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-04-06 |
| LC Amendment | 2019-12-09 |
| Florida Limited Liability | 2019-02-18 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
