| Entity Name: | MERAKI MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 10 Sep 2020 (4 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L20000282945 |
| Address: | 12565 ORANGE DRIVE, SUITE 401, DAVIE, FL 33330 |
| Mail Address: | 12565 ORANGE DRIVE, SUITE 401, DAVIE, FL 33330 |
| ZIP code: | 33330 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740896281 | 2020-09-21 | 2020-09-21 | 12565 ORANGE DR STE 401, DAVIE, FL, 333304305, US | 12565 ORANGE DR STE 401, DAVIE, FL, 333304305, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 954-998-7574 |
| Fax | 9542514846 |
Authorized person
| Name | LYDIA ARVELO |
| Role | CREDENTIALING SPECIALIST |
| Phone | 9549987574 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RN0300X - Nephrology Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ARVELO, LYDIA E | Agent | 12565 ORANGE DRIVE, SUITE 401, DAVIE, FL 33330 |
| Name | Role | Address |
|---|---|---|
| ARVELO, LYDIA E | Manager | 12565 ORANGE DRIVE SUITE 401, DAVIE, FL 33330 |
| Name | Role | Address |
|---|---|---|
| MONTECALVO, ERICA J | Authorized Member | 12565 ORANGE DRIVE SUITE 401, DAVIE, FL 33330 |
| ESTRADA, JOELLE | Authorized Member | 12565 ORANGE DRIVE SUITE 401, DAVIE, FL 33330 |
| CORTTI, MARIA R | Authorized Member | 12565 ORANGE DRIVE SUITE 401, DAVIE, FL 33330 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2020-09-10 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
