| Entity Name: | PHYSICIAN GROUP MIAMI BEACH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Apr 2021 (4 years ago) |
| Document Number: | L21000166888 |
| FEI/EIN Number | 86-3357616 |
| Address: | 4445 ALTON ROAD, MIAMI BEACH, FL, USA, MIAMI BEACH, FL, 33140, UN |
| Mail Address: | 4445 ALTON ROAD, MIAMI BEACH, FL, USA, MIAMI BEACH, FL, 33140, US |
| ZIP code: | 33140 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457934804 | 2021-05-04 | 2021-05-04 | 4445 ALTON RD, MIAMI BEACH, FL, 331402852, US | 4445 ALTON RD, MIAMI BEACH, FL, 331402852, US | |||||||||||||
|
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| Phone | +1 305-815-0693 |
Authorized person
| Name | DAVID ROMERO-FISCHMANN |
| Role | OWNER |
| Phone | 3058150693 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROMERO-FISCHMANN DAVID | Agent | 4445 ALTON ROAD, MIAMI BEACH, FL, USA, MIAMI BEACH, FL, 33140 |
| Name | Role | Address |
|---|---|---|
| ROMERO-FISCHMANN DAVID | Manager | 4445 ALTON ROAD, MIAMI BEACH, FL, USA, MIAMI BEACH, FL, 33140 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-04-05 |
| Florida Limited Liability | 2021-04-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
