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JOSE ORCASITA-NG, LLC

Company Details

Entity Name: JOSE ORCASITA-NG, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Jan 2021 (4 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 02 Jun 2021 (4 years ago)
Document Number: L21000071017
FEI/EIN Number 872656747
Address: 7000 W 12TH AVE, UNIT 21-22, HIALEAH, FL, 33014, US
Mail Address: 1000 NW 57 Ct., Suite 400, Miami, FL, 33126, US
ZIP code: 33014
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902515810 2022-11-18 2022-11-18 1000 NW 57TH CT STE 400, MIAMI, FL, 331263292, US 7000 W 12TH AVE UNIT 21-22, HIALEAH, FL, 330145154, US

Contacts

Phone +1 305-649-8100
Phone +1 305-362-9560
Fax 3058271581

Authorized person

Name JOSEPH N DE VERA
Role COO
Phone 3056498100

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role Address
De Vera Joseph NEsq. Agent 1000 NW 57 Ct., Miami, FL, 33126

Manager

Name Role
INTERAMERICAN MEDICAL CENTER GROUP, LLC Manager

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000080163 CAREMAX MEDICAL CENTER ACTIVE 2023-07-06 2028-12-31 No data 1000 NW 57 COURT, 400, MIAMI, FL, 33126

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-01-13 7000 W 12TH AVE, UNIT 21-22, HIALEAH, FL 33014 No data
REGISTERED AGENT NAME CHANGED 2023-01-13 De Vera, Joseph Nicholas, Esq. No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-13 1000 NW 57 Ct., Suite 400, Miami, FL 33126 No data
LC STMNT OF RA/RO CHG 2021-06-02 No data No data
CONVERSION 2021-01-20 No data CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS K78082. CONVERSION NUMBER 100000210561

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-01-13
ANNUAL REPORT 2022-04-27
CORLCRACHG 2021-06-02
Florida Limited Liability 2021-01-20

Date of last update: 02 Feb 2025

Sources: Florida Department of State