| Entity Name: | VIGIA MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Jun 2021 (4 years ago) |
| Date of dissolution: | 02 Nov 2022 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 02 Nov 2022 (2 years ago) |
| Document Number: | L21000284543 |
| FEI/EIN Number | 87-2190005 |
| Address: | 13265 SW 39 ST, DAVIE, FL, 33330 |
| Mail Address: | 13265 SW 39 ST, DAVIE, FL, 33330 |
| ZIP code: | 33330 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578230801 | 2021-08-25 | 2021-08-25 | 10887 NW 17TH ST UNIT 108A, MIAMI, FL, 331722044, US | 10887 NW 17TH ST UNIT 108A, MIAMI, FL, 331722044, US | |||||||||||||||||||
|
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| Phone | +1 786-493-2293 |
Authorized person
| Name | MR. YURI SALAS ESPINOSA |
| Role | AUTHORIZED OFFICIAL |
| Phone | 7864932293 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | ME113527 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SALAS ESPINOSA YURI | Agent | 13265 SW 39 ST, DAVIE, FL, 33330 |
| Name | Role | Address |
|---|---|---|
| SALAS ESPINOSA YURI MD | Manager | 13265 SW 39 ST, DAVIE, FL, 33330 |
| CONCEPCION PEREZ LIVASKY MD | Manager | 2231 NE 191 ST, MIAMI, FL, 33180 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-11-02 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-11-02 |
| ANNUAL REPORT | 2022-04-30 |
| Florida Limited Liability | 2021-06-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
