| Entity Name: | FAMILY MEDICAL GROUP CB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Feb 2022 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 09 Nov 2022 (2 years ago) |
| Document Number: | L22000054510 |
| FEI/EIN Number | 880965816 |
| Address: | 11285 SW 211 ST., STE. 202, CUTLER BAY, FL, 33189 |
| Mail Address: | 11285 SW 211 ST., STE. 202, CUTLER BAY, FL, 33189 |
| ZIP code: | 33189 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225736275 | 2023-02-20 | 2023-02-20 | 11285 SW 211TH ST STE 202, CUTLER BAY, FL, 331892213, US | 11285 SW 211TH ST STE 202, CUTLER BAY, FL, 331892213, US | |||||||||||||
|
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| Phone | +1 305-901-8979 |
Authorized person
| Name | LIZ RODRIGUEZ |
| Role | OWNER |
| Phone | 3059018979 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LJIR ENTERPRISES LLC | Agent |
| Name | Role | Address |
|---|---|---|
| LJIR ENTERPRISES LLC | Authorized Member | No data |
| RUSZKOWSKI RAYMOND M | Authorized Member | 21360 SW 92ND AVE, CUTLER BAY, FL, 33189 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000037180 | PRECISION MEDICAL CLEARANCES - CB | ACTIVE | 2024-03-13 | 2029-12-31 | No data | 11285 SW 211 STREET, SUITE 202, CUTLER BAY, FL, 33189 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-05 | LJIR Enterprises LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-05 | 9000 SW 137TH AVE, SUITE 201, MIAMI, FL 33186 | No data |
| LC AMENDMENT | 2022-11-09 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-08-23 | 11285 SW 211 ST., STE. 202, CUTLER BAY, FL 33189 | No data |
| LC AMENDMENT | 2022-08-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-08-23 | 11285 SW 211 ST., STE. 202, CUTLER BAY, FL 33189 | No data |
| LC NAME CHANGE | 2022-05-03 | FAMILY MEDICAL GROUP CB LLC | No data |
| LC AMENDMENT | 2022-02-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-01-23 |
| LC Amendment | 2022-11-09 |
| LC Amendment | 2022-08-23 |
| LC Name Change | 2022-05-03 |
| LC Amendment | 2022-02-17 |
| Florida Limited Liability | 2022-02-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
