| Entity Name: | BKB MED LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Dec 2021 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 08 Sep 2022 (2 years ago) |
| Document Number: | L21000519901 |
| FEI/EIN Number | 87-3967247 |
| Address: | 13814 S.W. 152 ST., MIAMI, FL 33177 |
| Mail Address: | 13814 S.W. 152 ST., MIAMI, FL 33177 |
| ZIP code: | 33177 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629790340 | 2022-09-19 | 2022-09-19 | 13814 SW 152ND ST, MIAMI, FL, 331771164, US | 13814 SW 152ND ST, MIAMI, FL, 331771164, US | |||||||||||||||||||||||||||
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| Phone | +1 305-305-1002 |
| Fax | 3054027714 |
Authorized person
| Name | YANET GARCIA |
| Role | APRN |
| Phone | 3053051002 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR1100X - Research Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BRITO VILLALON, JUAN L, MD | Agent | 10923 SW 153 CT, MIAMI, FL 33196 |
| Name | Role | Address |
|---|---|---|
| GARCIA, YANET, Dr. | Manager | 10923 SW 153 CT, MIAMI, FL 33196 |
| Brito Villalon, Juan L, Dr. | Manager | 10923 SW 153 CT, MIAMI, FL 33196 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-11-14 | 13814 S.W. 152 ST., MIAMI, FL 33177 | No data |
| LC AMENDMENT | 2022-09-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-09-08 | 13814 S.W. 152 ST., MIAMI, FL 33177 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-11-14 |
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-03-31 |
| LC Amendment | 2022-09-08 |
| ANNUAL REPORT | 2022-04-27 |
| Florida Limited Liability | 2021-12-09 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
