| Entity Name: | ALS MEDICAL GROUP MIAMI GARDENS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Aug 2021 (3 years ago) |
| Document Number: | L21000381309 |
| FEI/EIN Number | 87-2396453 |
| Address: | 4888 NW 183RD ST, SUITE 112, MIAMI GARDENS, FL, 33055 |
| Mail Address: | 4888 NW 183RD ST, SUITE 112, MIAMI GARDENS, FL, 33055 |
| ZIP code: | 33055 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427789601 | 2022-06-20 | 2022-10-24 | 4888 NW 183RD ST STE 112, MIAMI GARDENS, FL, 330552940, US | 4888 NW 183RD ST STE 112, MIAMI GARDENS, FL, 330552940, US | |||||||||||||||
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| Phone | +1 305-317-3948 |
| Fax | 3055495314 |
Authorized person
| Name | MARICELA NICOLAS |
| Role | OWNER |
| Phone | 3053039154 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NICOLAS MARICELA | Agent | 4811 SW 5TH TER, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| NICOLAS MARICELA | Manager | 4811 SW 5TH TER, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| MONTANO ANNIA | Authorized Member | 14360 SW 19 TERR, MIAMI, FL, 33175 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-01-18 |
| Florida Limited Liability | 2021-08-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
