| Entity Name: | PHYSICIAN PARTNERS OF SOUTH FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Jan 2020 (5 years ago) |
| Document Number: | L20000021500 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 901 PONCE DE LEON BLVD, SUITE 303, CORAL GABLES, FL, 33134, US |
| Mail Address: | 901 PONCE DE LEON BLVD, SUITE 303, CORAL GABLES, FL, 33134, US |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841821592 | 2020-01-31 | 2020-01-31 | 901 PONCE DE LEON BLVD STE 303, CORAL GABLES, FL, 331343059, US | 901 PONCE DE LEON BLVD STE 303, CORAL GABLES, FL, 331343059, US | |||||||||||||
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| Phone | +1 305-448-7437 |
Authorized person
| Name | MR. LUIS ANTONIO VAZQUEZ |
| Role | PRESIDENT |
| Phone | 3054487437 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GBBPL REGITERED AGENTS, LLC | Agent | 901 PONCE DE LEON, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| Callegari John | Chief Financial Officer | 901 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| Vazquez Balbino | Manager | 901 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-29 |
| Florida Limited Liability | 2020-01-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
