| Entity Name: | DIRECT PRIMARY CARE OF COCONUT GROVE LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Jul 2021 (4 years ago) |
| Document Number: | L21000322872 |
| FEI/EIN Number | 87-1706050 |
| Address: | 3436 SW 23 TER, MIAMI, FL, 33145 |
| Mail Address: | 3436 SW 23 TER, MIAMI, FL, 33145 |
| ZIP code: | 33145 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376218453 | 2021-08-11 | 2021-08-11 | 3436 SW 23RD TER, MIAMI, FL, 331453023, US | 3436 SW 23RD TER, MIAMI, FL, 331453023, US | |||||||||||||||
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| Phone | +1 305-871-9608 |
| Fax | 3053904659 |
Authorized person
| Name | MR. CAMILO ANDRES MURILLO |
| Role | CEO |
| Phone | 3058122208 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MURILLO CAMILO | Agent | 3436 SW 23 TERRACE, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| MURILLO PABLO | Manager | 3436 SW 23 TER, MIAMI, FL, 33145 |
| MURILLO JAZLYN | Manager | 3436 SW 23 TER, MIAMI, FL, 33145 |
| MEJIA LUIS | Manager | 2850 SW 103 AVE, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| Murillo Camilo A | Chief Executive Officer | 3436 SW 23 TER, MIAMI, FL, 33145 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-27 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-04-29 |
| Florida Limited Liability | 2021-07-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
