| Entity Name: | MIAMI PRIMARY HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Dec 2020 (4 years ago) |
| Document Number: | L20000378626 |
| FEI/EIN Number | 85-4251584 |
| Address: | 1275 W 47 PL SUITE 307, HIALEAH, FL, 33012, US |
| Mail Address: | 1275 W 47 PL SUITE 307, HIALEAH, FL, 33012, US |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821672056 | 2021-05-12 | 2021-05-12 | 1275 W 47TH PL STE 307, HIALEAH, FL, 330123447, US | 1275 W 47TH PL STE 307, HIALEAH, FL, 330123447, US | |||||||||||||||
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| Phone | +1 786-722-0999 |
| Fax | 7863499000 |
Authorized person
| Name | MR. JOSE ANTONIO VERGARA |
| Role | ARNP |
| Phone | 7867220999 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VERGARA JOSE A | Agent | 1275 W 47 PL SUITE 307, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| VERGARA JOSE A | Manager | 7375 WEST 18 AVE, HIALEAH, FL, 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-31 | 1275 W 47 PL SUITE 307, HIALEAH, FL 33012 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-31 | 1275 W 47 PL SUITE 307, HIALEAH, FL 33012 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-31 | 1275 W 47 PL SUITE 307, HIALEAH, FL 33012 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-04-30 |
| Florida Limited Liability | 2020-12-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
