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VILLA MEDICAL CENTER, LLC

Company Details

Entity Name: VILLA MEDICAL CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Jun 2020 (5 years ago)
Document Number: L20000147842
FEI/EIN Number 85-1361092
Address: 9325 SW 48 ST, MIAMI, FL, 33165, US
Mail Address: 9325 SW 48 ST, MIAMI, FL, 33165, US
ZIP code: 33165
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790424059 2022-06-03 2023-09-15 2441 NW 93RD AVE STE 102, DORAL, FL, 331724800, US 2441 NW 93RD AVE STE 102, DORAL, FL, 331724800, US

Contacts

Phone +1 786-391-4464

Authorized person

Name MINERVA PEREZ
Role DIRECTOR
Phone 7863010810

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
PEREZ MINERVA Agent 9325 SW 48 ST, MIAMI, FL, 33165

Authorized Member

Name Role Address
PEREZ MINERVA Authorized Member 9325 SW 48 ST, MIAMI, FL, 33165

Documents

Name Date
ANNUAL REPORT 2024-01-26
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-02-16
ANNUAL REPORT 2021-02-02
Florida Limited Liability 2020-06-01

Date of last update: 01 Feb 2025

Sources: Florida Department of State