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MODERN UROLOGY GROUP, LLC - Florida Company Profile

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Company Details

Entity Name: MODERN UROLOGY GROUP, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

MODERN UROLOGY GROUP, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 15 Feb 2022 (3 years ago)
Document Number: L22000076236
FEI/EIN Number 880946209

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 3400 CORAL WAY, MIAMI, FL, 33145, US
Mail Address: 3400 CORAL WAY, MIAMI, FL, 33145, US
ZIP code: 33145
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VILARO JOSE Manager 13025 SW 62ND AVENUE, PINECREST, FL, 33156
DE FAZIO ADAM Manager 825 ALMERIA AVENUE, CORAL GABLES, FL, 33134
De Fazio Adam Agent 3400 CORAL WAY, MIAMI, FL, 33145

National Provider Identifier

NPI Number:
1437806197
Certification Date:
2022-07-24

Authorized Person:

Name:
DR. ADAM MICHAEL DE FAZIO
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
Yes

Contacts:

Fax:
8337562656

Form 5500 Series

Employer Identification Number (EIN):
880946209
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000029702 MODERN UROLOGY ACTIVE 2022-03-07 2027-12-31 - 13025 SW 62ND AVE, PINECREST, FL, 33156

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-04-17 De Fazio, Adam -
REGISTERED AGENT ADDRESS CHANGED 2023-04-17 3400 CORAL WAY, SUITE 500, MIAMI, FL 33145 -
CHANGE OF PRINCIPAL ADDRESS 2022-07-26 3400 CORAL WAY, SUITE 500, MIAMI, FL 33145 -
CHANGE OF MAILING ADDRESS 2022-07-26 3400 CORAL WAY, SUITE 500, MIAMI, FL 33145 -

Documents

Name Date
ANNUAL REPORT 2024-03-18
ANNUAL REPORT 2023-04-17
Florida Limited Liability 2022-02-15

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Date of last update: 02 Jun 2025

Sources: Florida Department of State