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LEGACY MEDICAL CLINICS, LLC

Company Details

Entity Name: LEGACY MEDICAL CLINICS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Apr 2021 (4 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 18 Sep 2023 (a year ago)
Document Number: L21000168718
FEI/EIN Number 86-3171906
Address: 129 SEVILLA AVENUE, CORAL GABLES, FL, 33134, US
Mail Address: 129 SEVILLA AVENUE, 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
1295406239 2021-09-21 2024-06-20 129 SEVILLA AVE, CORAL GABLES, FL, 331346006, US 129 SEVILLA AVENUE, CORAL GABLES, FL, 331349998, US

Contacts

Phone +1 786-761-5935
Fax 3867615936
Phone +1 786-360-2901

Authorized person

Name MR. MICHAEL JAMES LANDRY
Role MANAGER
Phone 9853970449

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Agent

Name Role Address
LLAUDY LAW Agent 770 Ponce de Leon Blvd, Coral Gables, FL, 33134

Manager

Name Role Address
GONCALVES RONALD P Manager 8726 NW 26 Street, DORAL, FL, 33172
WALKER JOSH Manager 8726 NW 26 Street, DORAL, FL, 33172

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000145590 SUCCESS CARE ACTIVE 2023-12-01 2028-12-31 No data 129 SEVILLA AVENUE, CORAL GABLES, FL, 33134

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-09-18 129 SEVILLA AVENUE, CORAL GABLES, FL 33134 No data
LC AMENDMENT 2023-09-18 No data No data
CHANGE OF MAILING ADDRESS 2023-09-18 129 SEVILLA AVENUE, CORAL GABLES, FL 33134 No data
REGISTERED AGENT ADDRESS CHANGED 2023-05-01 770 Ponce de Leon Blvd, Suite 303, Coral Gables, FL 33134 No data
LC AMENDMENT 2022-11-03 No data No data
REGISTERED AGENT NAME CHANGED 2022-11-03 LLAUDY LAW No data
LC AMENDMENT 2021-06-17 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-23
LC Amendment 2023-09-18
AMENDED ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2023-03-24
LC Amendment 2022-11-03
ANNUAL REPORT 2022-04-27
LC Amendment 2021-06-17
Florida Limited Liability 2021-04-12

Date of last update: 03 Feb 2025

Sources: Florida Department of State