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NEL & SHEY MEDICAL CENTER AND RESEARCH LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
PEREZ ALAIN Agent 3822 WEST 12 AVE, HIALEAH, FL, 33012

Auth

Name Role Address
GONZALEZ NELSON Auth 6730 SW 159 PL, MIAMI, FL, 33193
GONZALEZ SHEYLA Auth 6730 SW 159 PL, MIAMI, FL, 33193

Events

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

Documents

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