| Entity Name: | NOVAVITA MED CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Jan 2022 (3 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 13 Jun 2024 (8 months ago) |
| Document Number: | L22000090438 |
| FEI/EIN Number | 88-1037844 |
| Address: | 13501 SW 136 ST SUITE 208, MIAMI, FL 33186 |
| Mail Address: | 13501 SW 136 ST Suite 208, MIAMI, FL 33186 |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194563379 | 2024-07-19 | 2024-07-19 | 13501 SW 136TH ST STE 208, MIAMI, FL, 331868321, US | 13501 SW 136TH ST STE 208, MIAMI, FL, 331868321, US | |||||||||||||||||
|
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| Phone | +1 305-284-7574 |
Authorized person
| Name | MARIA URSULA HERNANDEZ MORAN |
| Role | PRESIDENT |
| Phone | 3055620802 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ MORAN, MARIA U | Agent | 17811 SW 134 CT, MIAMI, FL 33177 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ MORAN, MARIA U | Authorized Member | 17811 SW 134 CT, MIAMI, FL 33177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-06-13 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-06-13 | HERNANDEZ MORAN, MARIA U | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-06-13 | 17811 SW 134 CT, MIAMI, FL 33177 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-11-15 | 13501 SW 136 ST SUITE 208, MIAMI, FL 33186 | No data |
| CHANGE OF MAILING ADDRESS | 2022-11-15 | 13501 SW 136 ST SUITE 208, MIAMI, FL 33186 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-06 |
| LC Amendment | 2024-06-13 |
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-03-15 |
| Florida Limited Liability | 2022-01-28 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
