| Entity Name: | PAN AM MEDICAL TRANSPORT, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 04 May 2022 (3 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L22000211670 |
| Address: | 7635 NW 182 LANE, MIAMI, FL, 33014, UN |
| Mail Address: | 7022 LOCH ISLE DR N, MIAMI LAKES, FL, 33014, UN |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629714084 | 2022-05-09 | 2022-05-09 | 7635 NW 182ND LN, HIALEAH, FL, 330152926, US | 7635 NW 182ND LN, HIALEAH, FL, 330152926, US | |||||||||||||||||||
|
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| Phone | +1 305-206-5830 |
Authorized person
| Name | MR. ROBERTO N GARCIA |
| Role | CEO |
| Phone | 3052065830 |
Taxonomy
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 123456 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARCIA ROBERTO N | Agent | 7022 LOCH ISLE DR N, MIAMI LAKES, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| GARCIA ROBERTO N | Chief Executive Officer | 7022 LOCH ISLE DR N, MIAMI LAKES, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| GARCIA ROBERT S | President | 7635 NW 182 LANE, MIAMI, FL, 33015 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2022-05-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
