| Entity Name: | MIAMI SHORES MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Jul 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 30 Sep 2021 (3 years ago) |
| Document Number: | L21000325191 |
| FEI/EIN Number | 87-2642920 |
| Mail Address: | 209 NE 95TH STREET, SUITE 4, MIAMI SHORES, FL 33138 |
| Address: | 209 NE 95TH STREET, suite 4, MIAMI SHORES, FL 33138 |
| ZIP code: | 33138 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255003851 | 2021-10-01 | 2022-05-05 | 209 NE 95TH STE 4, MIAMI SHORES, FL, 331382745, US | 209 NE 95TH STE 4, MIAMI SHORES, FL, 331382745, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 786-206-8610 |
| Fax | 7862068612 |
Authorized person
| Name | LUIS A ARIAS-URDANETA |
| Role | MD |
| Phone | 7862068610 |
Taxonomy
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ARIAS, LUIS | Agent | 209 NE 95TH STREET, suite 4, MIAMI SHORES, FL 33138 |
| Name | Role | Address |
|---|---|---|
| ARIAS, LUIS | Manager | 209 NE 95TH STREET, SUITE 4 MIAMI SHORES, FL 33138 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-29 | 209 NE 95TH STREET, suite 4, MIAMI SHORES, FL 33138 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-29 | 209 NE 95TH STREET, suite 4, MIAMI SHORES, FL 33138 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-29 | 209 NE 95TH STREET, suite 4, MIAMI SHORES, FL 33138 | No data |
| LC AMENDMENT | 2021-09-30 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-31 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-29 |
| LC Amendment | 2021-09-30 |
| Florida Limited Liability | 2021-07-16 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
