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CONSTELLATION MEDICAL GROUP, LLC - Florida Company Profile

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Company Details

Entity Name: CONSTELLATION MEDICAL GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 11 May 2020 (5 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 11 May 2020 (5 years ago)
Document Number: L20000123073
FEI/EIN Number 85-1319619
Address: 15600 NW 67th Ave Ste 105, Miami Lakes, FL, 33014, US
Mail Address: 1205 SW 37TH AVE., MIAMI, FL, 33135, US
ZIP code: 33014
City: Hialeah
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ALVAREZ NICOLAS RMD Manager 1205 SW 37TH AVE., MIAMI, FL, 33135
REGALADO ELDA MD Manager 1205 SW 37TH AVE., MIAMI, FL, 33135
Alvarez Claudio R Manager 1205 SW 37TH AVE., MIAMI, FL, 33135
ALVAREZ NICOLAS RMD Agent 1205 SW 37TH AVE., MIAMI, FL, 33135

National Provider Identifier

NPI Number:
1225794852
Certification Date:
2022-02-09

Authorized Person:

Name:
DR. NICOLAS ALVAREZ
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207QG0300X - Geriatric Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
851319619
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
0
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000025378 ONE HEALTH MEDICAL CENTERS ACTIVE 2025-02-20 2030-12-31 - 1205 SW 37TH AVE, MIAMI, FL, 33135
G22000033036 CONSTELLATION MEDICAL GROUP DBA HEALTH MEDICAL CENTER-MIAMI LAKES ACTIVE 2022-03-14 2027-12-31 - 15600 NW 67TH AVE SUITE 105, MIAMI, FL, 33014
G22000032991 ONE HEALTH MEDICAL CENTER - FLAGLER ACTIVE 2022-03-14 2027-12-31 - 85 GRAND CANAL DRIVE,SUITE 203, MIAMI, FL, 33144
G22000032994 ONE HEALTH MEDICAL CENTER - NORTH MIAMI ACTIVE 2022-03-14 2027-12-31 - 1850 NE 163 STREET, NORTH MIAMI BEACH, FL, 33162
G20000113442 SOLERA HEALTH SYSTEMS - NORTH MIAMI ACTIVE 2020-09-01 2025-12-31 - 1205 SW 37TH AVENUE, MIAMI, FL, 33135
G20000113447 SOLERA HEALTH SYSTEMS - MIAMI LAKES ACTIVE 2020-09-01 2025-12-31 - 1205 SW 37TH AVENUE, MIAMI, FL, 33135
G20000113440 SOLERA HEALTH SYSTEMS - FLAGLER ACTIVE 2020-09-01 2025-12-31 - 1205 SW 37TH AVENUE, MIAMI, FL, 33135

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-11-09 ALVAREZ, NICOLAS R, MD -
MERGER 2020-05-11 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 3. MERGER NUMBER 100000202601

Documents

Name Date
ANNUAL REPORT 2024-04-08
ANNUAL REPORT 2023-04-24
AMENDED ANNUAL REPORT 2022-11-09
ANNUAL REPORT 2022-05-16
ANNUAL REPORT 2021-02-12
Florida Limited Liability 2020-05-11

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Date of last update: 01 Jul 2025

Sources: Florida Department of State