| Entity Name: | PONCE MEDICLUB, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 20 Mar 2019 (6 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L19000078671 |
| FEI/EIN Number | 83-4300484 |
| Address: | 11455 SW 40TH Street, 146, Miami, FL 33165 |
| Mail Address: | 11455 SW 40th Street, 146, MIAMI, FL 33165 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902468523 | 2019-07-03 | 2022-05-12 | 11455 SW 40TH ST # 146, MIAMI, FL, 331653311, US | 9950 SW 107TH AVE STE 203, MIAMI, FL, 331762767, US | |||||||||||||||
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| Phone | +1 305-908-3144 |
| Fax | 4076055129 |
Authorized person
| Name | MARIA LOPEZ |
| Role | DIRECTOR OF OPERATIONS MED CTR |
| Phone | 3059924521 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GREENBERG LAW GROUP, PA | Agent | 2883 EXECUTIVE PARK DRIVE, SUITE 200, WESTON, FL 33331 |
| Name | Role | Address |
|---|---|---|
| BLE HEALTHCARE INVESTMENTS LLC | Manager | No data |
| ABELAIRAS, GRISELLE | Manager | 11455 SW 40th Street, 146 MIAMI, FL 33165 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-24 | 11455 SW 40TH Street, 146, Miami, FL 33165 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-21 | 11455 SW 40TH Street, 146, Miami, FL 33165 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-03-18 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-05-29 |
| Florida Limited Liability | 2019-03-20 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
