Entity Name: | NEL & SHEY MEDICAL CENTER AND RESEARCH LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 26 Jan 2022 (3 years ago) |
Document Number: | L22000046733 |
FEI/EIN Number | 88-0624604 |
Address: | 11045 SW 216 ST, MIAMI, FL, 33170, US |
Mail Address: | 11045 SW 216 ST, MIAMI, FL, 33170, US |
ZIP code: | 33170 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1578272050 | 2022-11-23 | 2022-11-23 | 11045 SW 216 ST, MIAMI, FL, 33170, US | 11045 SW 216 ST, MIAMI, FL, 33170, US | |||||||||||||||
|
Phone | +1 786-429-1639 |
Fax | 7865515758 |
Authorized person
Name | DR. NELSON GONZALEZ |
Role | OWNER |
Phone | 3054316957 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
PEREZ ALAIN | Agent | 3822 WEST 12 AVE, HIALEAH, FL, 33012 |
Name | Role | Address |
---|---|---|
GONZALEZ NELSON | Auth | 6730 SW 159 PL, MIAMI, FL, 33193 |
GONZALEZ SHEYLA | Auth | 6730 SW 159 PL, MIAMI, FL, 33193 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-05-26 | 11045 SW 216 ST, UNIT 11-13, MIAMI, FL 33170 | No data |
CHANGE OF MAILING ADDRESS | 2022-05-26 | 11045 SW 216 ST, UNIT 11-13, MIAMI, FL 33170 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-05-01 |
AMENDED ANNUAL REPORT | 2023-07-10 |
ANNUAL REPORT | 2023-02-06 |
Florida Limited Liability | 2022-01-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State