| Entity Name: | ESPAILLAT MEDICAL GROUP, PLLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
ESPAILLAT MEDICAL GROUP, PLLC. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 04 Dec 2019 (5 years ago) |
| Document Number: | L19000296022 |
| FEI/EIN Number |
84-3965017
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2275 SW 26TH LANE, BUILDING TWO, MIAMI, FL 33133 |
| Mail Address: | 2275 SW 26TH LANE, BUILDING TWO, MIAMI, FL 33133 |
| ZIP code: | 33133 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215563861 | 2020-03-16 | 2020-03-16 | PO BOX 144295, CORAL GABLES, FL, 331144295, US | 12002 SW 128TH CT STE 204, MIAMI, FL, 331864643, US | |||||||||||||||||||||
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| Phone | +1 305-234-8264 |
| Fax | 3052551752 |
Authorized person
| Name | DR. DIEGO ESPAILLAT PRESTOL |
| Role | OWNER/ PRESIDENT |
| Phone | 3052348264 |
Taxonomy
| Taxonomy Code | 208VP0000X - Pain Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME128770 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ESPAILLAT PRESTOL, DIEGO | Manager | 2275 SW 26TH LANE, BUILDING TWO, MIAMI, FL 33133 |
| THE LAW OFFICES OF MAX A. ADAMS, ESQ., PLLC | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000027166 | EMG PAIN MANAGEMENT | ACTIVE | 2021-02-25 | 2026-12-31 | - | 2275 SW 26TH LANE, BUILDING TWO, MIAMI, FL, 33133 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-25 | 4929 SW 74TH CT, MIAMI, FL 33155 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-03-28 |
| ANNUAL REPORT | 2021-02-25 |
| ANNUAL REPORT | 2020-06-10 |
| Florida Limited Liability | 2019-12-04 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
