| Entity Name: | FLORIDIAN HEALTH CENTERS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Jul 2021 (4 years ago) |
| Document Number: | L21000328562 |
| FEI/EIN Number | 87-1768133 |
| Address: | 17395 NW 59TH AVE, HIALEAH, FL 33015 |
| Mail Address: | 17395 NW 59TH AVE, HIALEAH, FL 33015 |
| ZIP code: | 33015 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093481178 | 2021-08-19 | 2024-07-12 | 14791 OAK LN, MIAMI LAKES, FL, 330161518, US | 17395 NW 59TH AVE, HIALEAH, FL, 33015, US | |||||||||||||||||
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| Phone | +1 305-491-0379 |
| Phone | +1 305-662-2185 |
| Fax | 3058262600 |
Authorized person
| Name | MR. ANTOLIN BENITEZ |
| Role | CEO |
| Phone | 3054910379 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| PADRON & ASSOCIATES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| SANCHEZ, WILLIAM E | Manager | 14791 OAK LANE, MIAMI LAKES, FL 33016 |
| BENITEZ, ANTOLIN | Manager | 14791 OAK LANE, MIAMI LAKES, FL 33016 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000147104 | FLORIDIAN ACTIVITY CENTER | ACTIVE | 2021-11-02 | 2026-12-31 | No data | 14791 OAK LANE, MIAMI LAKES, FL, 33016 |
| G21000147105 | FLORIDIAN COMMUNITY SERVICES | ACTIVE | 2021-11-02 | 2026-12-31 | No data | 14791 OAK LANE, MIAMI LAKES, FL, 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-16 | 17395 NW 59TH AVE, HIALEAH, FL 33015 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-16 | 17395 NW 59TH AVE, HIALEAH, FL 33015 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-01-04 |
| Florida Limited Liability | 2021-07-20 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
