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INTEGRATED COMPREHENSIVE URGENT CARE, LLC

Company Details

Entity Name: INTEGRATED COMPREHENSIVE URGENT CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 28 Aug 2020 (4 years ago)
Document Number: L20000268836
FEI/EIN Number 85-2904244
Address: 3595 W 20TH AVE, SUITE 130, HIALEAH, FL 33012
Mail Address: 780 NW 42ND AVE, 301, MIAMI, FL 33126-5536
ZIP code: 33012
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1629896980 2024-09-26 2024-11-05 8700 N KENDALL DR STE 100, MIAMI, FL, 331762206, US 8700 N KENDALL DR STE 100, MIAMI, FL, 331762206, US

Contacts

Phone +1 305-271-1515

Authorized person

Name WILFRED BRACERAS
Role PRESIDENT
Phone 3058895332

Taxonomy

Taxonomy Code 207RH0003X - Hematology & Oncology Physician
Is Primary No
Taxonomy Code 207RX0202X - Medical Oncology Physician
Is Primary Yes

Agent

Name Role Address
ALLIEGRO, ANSELMO L Agent 780 NW 42ND AVE, 301, MIAMI, FL 33126-5536

PRESIDENT

Name Role Address
BRACERAS, WILFRED PRESIDENT 780 NW 42ND AVE, 301 MIAMI, FL 33126-5536

Chief Financial Officer

Name Role Address
BRACERAS, WILFRED Chief Financial Officer 780 NW 42ND AVE, 301 MIAMI, FL 33126-5536

Chief Executive Officer

Name Role Address
BRACERAS, WILFRED Chief Executive Officer 780 NW 42ND AVE, 301 MIAMI, FL 33126-5536

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000126233 INTEGRATED MEDICAL GLOBAL ASSISTANCE ACTIVE 2024-10-11 2029-12-31 No data 780 NW 42ND AVE, SUITE 301, MIAMI, FL, 33126
G24000110580 MEDICAL PROFESSIONALS OF MIAMI ACTIVE 2024-09-05 2029-12-31 No data 780 NW 42ND AVE, SUITE 301, MIAMI, FL, 33126

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-03-26 3595 W 20TH AVE, SUITE 130, HIALEAH, FL 33012 No data
REGISTERED AGENT ADDRESS CHANGED 2024-03-26 780 NW 42ND AVE, 301, MIAMI, FL 33126-5536 No data
CHANGE OF PRINCIPAL ADDRESS 2021-01-13 3595 W 20TH AVE, SUITE 130, HIALEAH, FL 33012 No data

Documents

Name Date
ANNUAL REPORT 2024-03-26
ANNUAL REPORT 2023-02-15
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-02-26
Florida Limited Liability 2020-08-28

Date of last update: 15 Jan 2025

Sources: Florida Department of State