| Entity Name: | STELLA DEL MARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Feb 2020 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 26 Jun 2020 (5 years ago) |
| Document Number: | L20000038566 |
| FEI/EIN Number | 84-4659209 |
| Address: | 2804 NE 8th St, Homestead, FL, 33033, US |
| Mail Address: | 2804 NE 8th St, Homestead, FL, 33033, US |
| ZIP code: | 33033 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821603739 | 2020-09-09 | 2023-09-06 | 2804 NE 8TH ST STE 103, HOMESTEAD, FL, 330335613, US | 2804 NE 8TH ST STE 103, HOMESTEAD, FL, 330335613, US | |||||||||||||||||||||
|
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| Phone | +1 305-901-0585 |
| Fax | 3059010523 |
Authorized person
| Name | XAVIER ROMEO RAMOS |
| Role | MEDICAL DOCTOR |
| Phone | 3057679039 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 115955000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RAMOS XAVIER | Agent | 2804 NE 8th St, Homestead, FL, 33033 |
| Name | Role | Address |
|---|---|---|
| RAMOS XAVIER | Manager | 2804 NE 8th St, Homestead, FL, 33033 |
| Name | Role | Address |
|---|---|---|
| Ramos Cynthia A | Auth | 2804 NE 8th St, Homestead, FL, 33033 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000161353 | MARIAN HEALTH | ACTIVE | 2021-12-06 | 2026-12-31 | No data | 2804 NE 8TH ST, UNIT 103, HOMESTEAD, FL, 33035 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-12-06 | 2804 NE 8th St, 103, Homestead, FL 33033 | No data |
| CHANGE OF MAILING ADDRESS | 2021-12-06 | 2804 NE 8th St, 103, Homestead, FL 33033 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-12-06 | 2804 NE 8th St, 103, Homestead, FL 33033 | No data |
| LC AMENDMENT | 2020-06-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-26 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-03-06 |
| AMENDED ANNUAL REPORT | 2021-12-06 |
| ANNUAL REPORT | 2021-07-26 |
| LC Amendment | 2020-06-26 |
| Florida Limited Liability | 2020-02-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
