| Entity Name: | CENTRUM MEDICAL CENTER - SOUTH DADE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Jul 2019 (6 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 01 Dec 2021 (3 years ago) |
| Document Number: | L19000185744 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 10980 SW 184th Street, Miami, FL, 33157-6615, US |
| Mail Address: | 10980 SW 184th Street, Miami, FL, 33157-6615, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538715024 | 2019-08-12 | 2024-02-27 | 9250 NW 36TH ST STE 420, DORAL, FL, 331782775, US | 10980 SW 184TH ST, CUTLER BAY, FL, 331576615, US | |||||||||||||||||||
|
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| Phone | +1 305-266-2929 |
| Fax | 3055796673 |
Authorized person
| Name | ALEXIS AGREDA |
| Role | CFO |
| Phone | 3052662929 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Rodriquez- Duret Rodolfo | Manager | 10980 SW 184th Street, Miami, FL, 331576615 |
| Victorero Graciela | Manager | 10980 SW 184th Street, Miami, FL, 331576615 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-08 | 10980 SW 184th Street, Miami, FL 33157-6615 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-08 | 10980 SW 184th Street, Miami, FL 33157-6615 | No data |
| LC STMNT OF RA/RO CHG | 2021-12-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-12-01 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-12-01 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-29 |
| CORLCRACHG | 2021-12-01 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-02-19 |
| Florida Limited Liability | 2019-07-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
