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MY FLORIDA COMMUNITY HEALTH CENTER LLC

Company Details

Entity Name: MY FLORIDA COMMUNITY HEALTH CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Jan 2021 (4 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 24 Mar 2022 (3 years ago)
Document Number: L21000019730
FEI/EIN Number 86-1651075
Address: 717 PONCE DE LEON BLVD., STE. 221, CORAL GABLES, FL, 33134, US
Mail Address: 717 PONCE DE LEON BLVD., STE. 221, CORAL GABLES, FL, 33134, US
ZIP code: 33134
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649848011 2021-06-14 2023-05-11 10887 NW 17TH ST UNIT 203, MIAMI, FL, 331722046, US 2711 NW 6TH ST STE E, GAINESVILLE, FL, 326092964, US

Contacts

Phone +1 786-233-6218
Phone +1 352-376-1939

Authorized person

Name LISANDRA VALDIVIA
Role OFFICER
Phone 3523782492

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
LINARES VERGES SURISADAY Agent 717 PONCE DE LEON BLVD., STE. 221, CORAL GABLES, FL, 33134

Authorized Member

Name Role Address
LINARES VERGES SURISADAY Authorized Member 717 PONCE DE LEON BLVD., STE. 221, CORAL GABLES, FL, 33134

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-09-01 LINARES VERGES, SURISADAY No data
REGISTERED AGENT ADDRESS CHANGED 2022-03-24 717 PONCE DE LEON BLVD., STE. 221, CORAL GABLES, FL 33134 No data
LC AMENDMENT 2022-03-24 No data No data
CHANGE OF PRINCIPAL ADDRESS 2022-03-24 717 PONCE DE LEON BLVD., STE. 221, CORAL GABLES, FL 33134 No data
CHANGE OF MAILING ADDRESS 2022-03-24 717 PONCE DE LEON BLVD., STE. 221, CORAL GABLES, FL 33134 No data
LC AMENDMENT 2021-09-09 No data No data
LC AMENDMENT 2021-06-21 No data No data
LC AMENDMENT 2021-04-30 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2023-05-25
AMENDED ANNUAL REPORT 2022-09-01
LC Amendment 2022-03-24
ANNUAL REPORT 2022-02-08
LC Amendment 2021-09-09
LC Amendment 2021-06-21
LC Amendment 2021-04-30
Florida Limited Liability 2021-01-07

Date of last update: 01 Feb 2025

Sources: Florida Department of State