| Entity Name: | VERA MEDICAL PRACTICE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Jun 2020 (5 years ago) |
| Document Number: | L20000181302 |
| FEI/EIN Number | 85-1828313 |
| Address: | 6741 CORAL WAY, 44, MIAMI, FL 33155 |
| Mail Address: | 10730 NW 66 STREET, 312, DORAL, FL 33178 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558968008 | 2020-10-07 | 2020-10-07 | 10730 NW 66TH ST APT 312, DORAL, FL, 331783708, US | 6741 CORAL WAY STE 44, MIAMI, FL, 331551767, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 786-414-0344 |
| Phone | +1 786-300-6063 |
Authorized person
| Name | DR. RAUL VERA GIMON |
| Role | MEDICAL ONCOLOGY |
| Phone | 7863006063 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207RX0202X - Medical Oncology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MENDOZA, MAGALY | Agent | 7700 N KENDALL DR, MIAMI, FL 33158 |
| Name | Role | Address |
|---|---|---|
| VERA GIMON, RAUL | Manager | 10730 NW 66 STREET, DORAL, FL 33178 |
| LAFEE, EUGENIA | Manager | 10730 NW 66 STREET, DORAL, FL 33178 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-18 | 6741 CORAL WAY, 44, MIAMI, FL 33155 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-03-18 |
| Florida Limited Liability | 2020-06-29 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
