| Entity Name: | MEDERAPY HEALTH GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Jun 2019 (6 years ago) |
| Document Number: | L19000166135 |
| FEI/EIN Number | 842431685 |
| Address: | 6424 N ARMENIA AVE., TAMPA, FL, 33604, US |
| Mail Address: | 6424 N ARMENIA AVE., TAMPA, FL, 33604, US |
| ZIP code: | 33604 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265074397 | 2019-10-10 | 2023-09-06 | 6424 N ARMENIA AVE, TAMPA, FL, 336045712, US | 6424 N ARMENIA AVE, TAMPA, FL, 336045712, US | |||||||||||||||||||||||
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| Phone | +1 305-804-1200 |
Authorized person
| Name | DR. MIGUEL ANGEL LABRADA |
| Role | PRESIDENT/OWNER |
| Phone | 3057721052 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PT33901 |
| Number | PT33901 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BONACHEA RICHARD | Agent | 9201 SW 35 ST., MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| BONACHEA RICHARD | Manager | 3015 N Rocky Point Dr E, Tampa, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| BONACHEA RICHARD SR. | Authorized Person | 9201 SW 35 ST., MIAMI, FL, 33165 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000024297 | DR HERO MEDICAL | ACTIVE | 2024-02-13 | 2029-12-31 | No data | 6424 N ARMENIA AVE, TAMPA, FL, 33604 |
| G22000009122 | DOCTOR HERO | ACTIVE | 2022-01-14 | 2027-12-31 | No data | 6424 N ARMENIA AVE., TAMPA, FL, 33604 |
| G20000030913 | MEDERAPY STAFFING | ACTIVE | 2020-03-10 | 2025-12-31 | No data | 6424 N ARMENIA AVE., TAMPA, FL, 33604 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-01 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-06-07 |
| Florida Limited Liability | 2019-06-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
