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SAN MARCUS SLEEP LAB LLC

Company Details

Entity Name: SAN MARCUS SLEEP LAB LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 20 Aug 2021 (3 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 04 Nov 2024 (3 months ago)
Document Number: L21000373826
FEI/EIN Number 87-2362133
Address: 5941 NW 173RD DRIVE, SUITE 1, HIALEAH, FL 33015
Mail Address: 5941 NW 173RD DRIVE, SUITE 1, HIALEAH, FL 33015
ZIP code: 33015
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164165676 2022-04-14 2024-03-20 5941 NW 173RD DR UNIT 1, HIALEAH, FL, 330155110, US 5941 NW 173RD DR UNIT 1, HIALEAH, FL, 330155110, US

Contacts

Phone +1 786-953-6020
Fax 3057014101

Authorized person

Name BEATRIZ GONI
Role SLEEP CENTER MANAGER
Phone 3059871515

Taxonomy

Taxonomy Code 207RP1001X - Pulmonary Disease Physician
Is Primary Yes
Taxonomy Code 261QS1200X - Sleep Disorder Diagnostic Clinic/Center
Is Primary No

Agent

Name Role Address
GONI, BEATRIZ Agent 16420 NW 59 Ave,, Miami Lakes, FL 33014

Manager

Name Role Address
REYES, JESUS L Manager 16420 NW 59TH AVE, MIAMI LAKES, FL 33014
PERALTA, MANUEL Manager 16420 NW 59TH AVE, MIAMI LAKES, FL 33014
GONI, BEATRIZ Manager 6263 SW 139TH AVE, MIAMI, FL 33183

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-11-04 No data No data
REGISTERED AGENT NAME CHANGED 2024-11-04 GONI, BEATRIZ No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
REGISTERED AGENT ADDRESS CHANGED 2022-03-25 16420 NW 59 Ave,, Miami Lakes, FL 33014 No data

Documents

Name Date
REINSTATEMENT 2024-11-04
ANNUAL REPORT 2023-04-28
AMENDED ANNUAL REPORT 2022-09-28
ANNUAL REPORT 2022-03-25
Florida Limited Liability 2021-08-20

Date of last update: 13 Jan 2025

Sources: Florida Department of State