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ATISSO MEDICAL CENTER LLC

Company Details

Entity Name: ATISSO MEDICAL CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 16 Sep 2020 (4 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 20 Aug 2024 (5 months ago)
Document Number: L20000291177
FEI/EIN Number 85-3030259
Address: 2331 NORTH STATE RD-7 SUITE 220, LAUDERHILL, FL 33313-3772
Mail Address: 2331 NORTH STATE RD-7 SUITE 220, LAUDERHILL, FL 33313-3772
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730852708 2021-07-27 2024-01-30 2331 N STATE ROAD 7 STE 220, LAUDERDALE LAKES, FL, 333133772, US 2331 N STATE ROAD 7 STE 220, LAUDERDALE LAKES, FL, 333133772, US

Contacts

Phone +1 954-290-9159
Fax 9542060561

Authorized person

Name DR. FRANTZ SAINVIL
Role PRESIDENT AND CO-OWNER
Phone 9542909159

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes
Taxonomy Code 261Q00000X - Clinic/Center
Is Primary No

Agent

Name Role Address
SAINVIL, FRANTZ Agent 4945 SW 66th Ter, Davie, FL 33314-4351

Manager

Name Role Address
SAINVIL, FRANTZ Manager 4945 SW 66th Ter, Davie, FL 33314-4351
CHARLOTIN, SIDALOUISE Manager 740 NE 166 ST, NORTH MIAMI, FL 33162

Events

Event Type Filed Date Value Description
LC AMENDMENT 2024-08-20 No data No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-27 4945 SW 66th Ter, Davie, FL 33314-4351 No data
LC AMENDMENT 2022-11-08 No data No data
CHANGE OF PRINCIPAL ADDRESS 2022-11-08 2331 NORTH STATE RD-7 SUITE 220, LAUDERHILL, FL 33313-3772 No data
CHANGE OF MAILING ADDRESS 2022-11-08 2331 NORTH STATE RD-7 SUITE 220, LAUDERHILL, FL 33313-3772 No data
LC AMENDMENT 2021-08-23 No data No data

Documents

Name Date
LC Amendment 2024-08-20
ANNUAL REPORT 2024-02-19
ANNUAL REPORT 2023-01-27
LC Amendment 2022-11-08
ANNUAL REPORT 2022-04-28
LC Amendment 2021-08-23
ANNUAL REPORT 2021-03-13
Florida Limited Liability 2020-09-16

Date of last update: 15 Jan 2025

Sources: Florida Department of State