| Entity Name: | MIAMI SHORES HEART CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Oct 2021 (3 years ago) |
| Document Number: | L21000439165 |
| FEI/EIN Number | 87-3015625 |
| Address: | 209 NE 95TH STREET, SUITE 4, MIAMI SHORES, FL 33138 |
| Mail 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 | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811651557 | 2021-10-28 | 2023-05-02 | 209 NE 95TH ST STE 4, MIAMI SHORES, FL, 331382745, US | 209 NE 95TH ST STE 4, MIAMI SHORES, FL, 331382745, US | |||||||||||||||||||||
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| Phone | +1 786-206-8610 |
| Fax | 7862068612 |
Authorized person
| Name | MARGARITA PEREZ |
| Role | MD |
| Phone | 7862068610 |
Taxonomy
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENCE |
| Number | ME114882 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEREZ, MARGARITA V | Agent | 209 NE 95TH STREET, SUITE 4, MIAMI SHORES, FL 33138 |
| Name | Role | Address |
|---|---|---|
| PEREZ, MARGARITA V | Authorized Member | 209 NE 95TH STREET SUITE 4, MIAMI SHORES, FL 33138 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-05 | 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 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-31 |
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-29 |
| Florida Limited Liability | 2021-10-07 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
