| Entity Name: | MEDICAL CENTRE OF PALMETTO BAY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 28 Sep 2021 (3 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L21000426429 |
| FEI/EIN Number | 87-3199228 |
| Address: | 14471 SOUTH DIXIE HIGHWAY, MIAMI, FL 33176 |
| Mail Address: | 14471 SOUTH DIXIE HIGHWAY, MIAMI, FL 33176 |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245976752 | 2022-05-08 | 2022-05-08 | 14471 S DIXIE HWY, PALMETTO BAY, FL, 331767924, US | 14471 S DIXIE HWY, PALMETTO BAY, FL, 331767924, US | |||||||||||||||
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| Phone | +1 786-573-4777 |
| Fax | 7863399544 |
Authorized person
| Name | DR. VEACESLAV VLASDOM, |
| Role | MEDICAL DIRECTOR |
| Phone | 7865734777 |
Taxonomy
| Taxonomy Code | 171100000X - Acupuncturist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MEDICAL CENTRE OF PALMETTO BAY, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| VERGHO, JAMES L | Manager | 23305 SW 153rd AVE, HOMESTEAD, FL 33032-2009 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-13 |
| Florida Limited Liability | 2021-09-28 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
