| Entity Name: | IC GROUP-MEDICAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Jul 2021 (4 years ago) |
| Document Number: | L21000311211 |
| FEI/EIN Number | 87-1593758 |
| Address: | 13745 SW 34 ST, Miami, FL, US |
| Mail Address: | 13745 SW 34 ST, Miami, FL, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811568959 | 2021-07-09 | 2022-11-17 | 2721 SW 137TH AVE STE 117, MIAMI, FL, 331756319, US | 2721 SW 137TH AVE STE 117, MIAMI, FL, 331756319, US | |||||||||||||
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| Phone | +1 786-703-9954 |
Authorized person
| Name | AILYN RODRIGUEZ MONZON |
| Role | APRN |
| Phone | 7867039954 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ AILYN | Agent | 13745 SW 34 ST, Miami, FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ AILYN | Authorized Member | 13745 SW 34 ST, Miami, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-18 | 13745 SW 34 ST, Miami, FL | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-18 | 13745 SW 34 ST, Miami, FL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-18 | 13745 SW 34 ST, Miami, FL | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-06 |
| Florida Limited Liability | 2021-07-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
