| Entity Name: | MIAMI GARDENS ORTHOPEDICS AND PAIN MANAGEMENT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Jan 2022 (3 years ago) |
| Document Number: | L22000087910 |
| FEI/EIN Number | 88-1106887 |
| Address: | 4888 NW 183 ST, SUITE 113, MIAMI GARDENS, FL, 33055, US |
| Mail Address: | 4888 NW 183 ST, SUITE 113, MIAMI GARDENS, FL, 33055, US |
| ZIP code: | 33055 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346977600 | 2022-08-05 | 2022-08-05 | 4888 NW 183RD ST STE 113, MIAMI GARDENS, FL, 330552940, US | 4888 NW 183RD ST STE 113, MIAMI GARDENS, FL, 330552940, US | |||||||||||||||
|
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| Phone | +1 305-317-3990 |
| Fax | 3055495314 |
Authorized person
| Name | MARICELA NICOLAS |
| Role | OWNER |
| Phone | 3053039154 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NICOLAS MARICELA | Agent | 4888 NW 183 ST, MIAMI, FL, 33055 |
| Name | Role | Address |
|---|---|---|
| NICOLAS MARICELA | Manager | 4888 NW 183RD ST, MIAMI GARDENS, FL, 33055 |
| Name | Role | Address |
|---|---|---|
| MONTANO ANNIA | Authorized Member | 14360 SW 19 TERR, MIAMI, FL, 33175 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-03-31 |
| Florida Limited Liability | 2022-01-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
