| Entity Name: | SAN MIGUEL COMMUNITY WELLNESS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Sep 2020 (4 years ago) |
| Document Number: | L20000295995 |
| FEI/EIN Number | 85-3301353 |
| Address: | 12030 SW 129 CT, MIAMI, FL, 33186, US |
| Mail Address: | 12030 SW 129 CT, MIAMI, FL, 33186, US |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508628090 | 2024-01-29 | 2024-01-29 | 12030 SW 129TH CT STE 107, MIAMI, FL, 331864584, US | 12030 SW 129TH CT STE 107, MIAMI, FL, 331864584, US | |||||||||||||
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| Phone | +1 305-432-4032 |
Authorized person
| Name | MIGUEL NOVOA |
| Role | PRESIDENT |
| Phone | 3054324032 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NOVOA MIGUEL | Agent | 12030 SW 129 CT, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| NOVOA MIGUEL | Manager | 12030 SW 129 CT, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| NOVOA DENIA | Auth | 12030 SW 129 CT, MIAMI, FL, 33186 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000039152 | SAN MIGUEL HEALTH CENTER | ACTIVE | 2021-03-22 | 2026-12-31 | No data | 14880 SW 155 TERR, MIAMI, FL, 33187 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-08-08 | 12030 SW 129 CT, SUITE 107-108, MIAMI, FL 33186 | No data |
| CHANGE OF MAILING ADDRESS | 2023-08-08 | 12030 SW 129 CT, SUITE 107-108, MIAMI, FL 33186 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-06-20 | 12030 SW 129 CT, SUITE 206, MIAMI, FL 33186 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-17 |
| AMENDED ANNUAL REPORT | 2022-06-20 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-04-15 |
| Florida Limited Liability | 2020-09-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
