| Entity Name: | DEPENA HEALTH GROUP. LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Sep 2019 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 20 Dec 2021 (3 years ago) |
| Document Number: | L19000243818 |
| FEI/EIN Number | 84-3379980 |
| Address: | 7171 SW 24 ST, MIAMI, FL, 33155, US |
| Mail Address: | 11350 SW 67 AVE, MIAMI, FL, 33156, US |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568005411 | 2019-10-23 | 2019-10-23 | 7171 SW 24TH ST STE 316, MIAMI, FL, 331551692, US | 7171 SW 24TH ST STE 316, MIAMI, FL, 331551692, US | |||||||||||||||||||
|
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| Phone | +1 786-762-2415 |
| Fax | 7867622418 |
Authorized person
| Name | FLORENCIO DEPENA |
| Role | PRESIDENT |
| Phone | 7867622415 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DEPENA FLORENCIO MD | Agent | 11350 SW 67 AVE, MIAMI, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| DEPENA FLORENCIO MD | Manager | 11350 SW 67 AVE, MIAMI, FL, 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-12 | 7171 SW 24 ST, S-316, MIAMI, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-03 | 7171 SW 24 ST, S-316, MIAMI, FL 33155 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-03 | 11350 SW 67 AVE, MIAMI, FL 33156 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-12-20 | DEPENA, FLORENCIO, MD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-03-08 |
| REINSTATEMENT | 2021-12-20 |
| Florida Limited Liability | 2019-09-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
