| Entity Name: | CONCORDIA HEALTH CENTERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 19 Feb 2021 (4 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | L21000084707 |
| FEI/EIN Number | 862352368 |
| Address: | 9627 South Dixie Highway, Suite 100, Pinecrest, FL, 33156, US |
| Mail Address: | 9627 South Dixie Highway, Suite 100, Pinecrest, FL, 33156, US |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376122283 | 2021-04-07 | 2022-10-16 | 9627 S DIXIE HWY STE 100, PINECREST, FL, 331562804, US | 9627 S DIXIE HWY STE 100, PINECREST, FL, 331562804, US | |||||||||||||||||||||
|
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| Phone | +1 305-603-9731 |
Authorized person
| Name | DECEMBER CRYSTAL NUNEZ |
| Role | CEO |
| Phone | 3056039731 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Nunez December | Agent | 9627 South Dixie Highway, Pinecrest, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| Nunez December | Chief Executive Officer | 9627 South Dixie Highway, Pinecrest, FL, 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-27 | 9627 South Dixie Highway, Suite 100, Pinecrest, FL 33156 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-27 | 9627 South Dixie Highway, Suite 100, Pinecrest, FL 33156 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-27 | Nunez, December | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-27 | 9627 South Dixie Highway, Suite 100, Pinecrest, FL 33156 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-29 |
| Florida Limited Liability | 2021-02-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
