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MIAMI GARDENS ORTHOPEDICS AND PAIN MANAGEMENT LLC - Florida Company Profile

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Company Details

Entity Name: MIAMI GARDENS ORTHOPEDICS AND PAIN MANAGEMENT LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Jan 2022 (4 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
City: Opa Locka
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
NICOLAS MARICELA Manager 4888 NW 183RD ST, MIAMI GARDENS, FL, 33055
MONTANO ANNIA Authorized Member 14360 SW 19 TERR, MIAMI, FL, 33175
NICOLAS MARICELA Agent 4888 NW 183 ST, MIAMI, FL, 33055

National Provider Identifier

NPI Number:
1346977600
Certification Date:
2022-08-05

Authorized Person:

Name:
MARICELA NICOLAS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3055495314

Documents

Name Date
ANNUAL REPORT 2024-01-27
ANNUAL REPORT 2023-03-31
Florida Limited Liability 2022-01-18

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Date of last update: 01 Aug 2025

Sources: Florida Department of State