| Entity Name: | SOMOS VIDA HEALTH CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Sep 2020 (4 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 07 Nov 2023 (a year ago) |
| Document Number: | L20000282745 |
| FEI/EIN Number | 85-3067927 |
| Address: | 4910 E 2 AVE, HIALEAH, FL, 33013, US |
| Mail Address: | 4910 E 2 AVE, HIALEAH, FL, 33013, US |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699365569 | 2021-01-24 | 2024-02-16 | 4910 E 2ND AVE, HIALEAH, FL, 330131410, US | 4910 E 2ND AVE, HIALEAH, FL, 330131410, US | |||||||||||||||||||||||||||||
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| Phone | +1 954-239-8860 |
| Fax | 9542398847 |
Authorized person
| Name | YUDITH PANDO |
| Role | OWNER |
| Phone | 9542398860 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME130127 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PANDO YUDITH | Agent | 4910 E 2 AVE, HIALEAH, FL, 33013 |
| Name | Role | Address |
|---|---|---|
| YUDITH PANDO | Manager | 4910 E 2 AVE, HIALEAH, FL, 33013 |
| MARTINEZ LOURDES ESTHER | Manager | 4910 E 2 AVE, HIALEAH, FL, 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT AND NAME CHANGE | 2023-11-07 | SOMOS VIDA HEALTH CENTER, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-11-07 | 4910 E 2 AVE, HIALEAH, FL 33013 | No data |
| CHANGE OF MAILING ADDRESS | 2023-11-07 | 4910 E 2 AVE, HIALEAH, FL 33013 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-11-07 | 4910 E 2 AVE, HIALEAH, FL 33013 | No data |
| LC AMENDMENT | 2023-06-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-31 |
| LC Amendment and Name Change | 2023-11-07 |
| LC Amendment | 2023-06-01 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-03-15 |
| Florida Limited Liability | 2020-09-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
