| Entity Name: | ATLANTIC HEALTH MSO LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Apr 2021 (4 years ago) |
| Date of dissolution: | 01 Jun 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 Jun 2021 (4 years ago) |
| Document Number: | L21000169182 |
| Address: | 8785 SW 165TH AVE SUITE 200-2014, MIAMI, FL, 33193 |
| Mail Address: | 8785 SW 165TH AVE SUITE 200-2014, MIAMI, FL, 33193, US |
| ZIP code: | 33193 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043890221 | 2021-04-12 | 2021-04-12 | 8785 SW 165TH AVE STE 200-2014, MIAMI, FL, 331935826, US | 8785 SW 165TH AVE STE 200-2014, MIAMI, FL, 331935826, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 305-363-2886 |
Authorized person
| Name | RENE DAVILA HASTINGS |
| Role | PRESIDENT |
| Phone | 3053632886 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVILA HASTINGS RENE | Agent | 8785 SW 165TH AVE SUITE 200-2014, MIAMI, FL, 33193 |
| Name | Role | Address |
|---|---|---|
| DAVILA HASTINGS RENE | Manager | 8785 SW 165TH AVE SUITE 200-2014, MIAMI, FL, 33193 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-06-01 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-06-01 |
| Florida Limited Liability | 2021-04-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
