| Entity Name: | LA EXCELENCIA MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Oct 2021 (3 years ago) |
| Document Number: | L21000445323 |
| FEI/EIN Number | 87-3079925 |
| Address: | 13226 SW 8TH ST, MIAMI, FL, 33184, US |
| Mail Address: | 13226 SW 8TH ST, MIAMI, FL, 33184, US |
| ZIP code: | 33184 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275241093 | 2022-11-10 | 2022-11-10 | 13270 SW 8TH ST, MIAMI, FL, 331841178, US | 13270 SW 8TH ST, MIAMI, FL, 331841178, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 305-439-4877 |
| Fax | 7866335130 |
Authorized person
| Name | MIRELYS VALDES |
| Role | CEO |
| Phone | 3054394877 |
Taxonomy
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAMIREZ OSMANI | Agent | 13226 SW 8TH ST, MIAMI, FL, 33184 |
| Name | Role | Address |
|---|---|---|
| RAMIREZ OSMANI | President | 13226 SW 8TH ST, MIAMI, FL, 33184 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-02 | 13226 SW 8TH ST, MIAMI, FL 33184 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-02 | 13226 SW 8TH ST, MIAMI, FL 33184 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-02 | RAMIREZ, OSMANI | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-02 | 13226 SW 8TH ST, MIAMI, FL 33184 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-03-07 |
| AMENDED ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-04-14 |
| AMENDED ANNUAL REPORT | 2022-11-10 |
| AMENDED ANNUAL REPORT | 2022-11-09 |
| ANNUAL REPORT | 2022-04-21 |
| Florida Limited Liability | 2021-10-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
