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MSMC OF THE FLORIDA KEYS, LLC

Company Details

Entity Name: MSMC OF THE FLORIDA KEYS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Jun 2022 (3 years ago)
Document Number: L22000254051
FEI/EIN Number 88-2747131
Address: 4300 ALTON ROAD, ADMINISTRATION, MIAMI BEACH, FL, 33140, US
Mail Address: 4300 ALTON ROAD, ADMINISTRATION, MIAMI BEACH, FL, 33140, US
ZIP code: 33140
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194455881 2022-06-15 2023-08-02 2505 FLAGLER AVE, KEY WEST, FL, 330403934, US 2505 FLAGLER AVE, KEY WEST, FL, 330403934, US

Contacts

Phone +1 305-295-6700
Phone +1 305-295-6767
Fax 3056028455

Authorized person

Name WAYNE CHUTKAN
Role VP OF FINANCE
Phone 3056742121

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
YAP VALERIE Agent 4300 ALTON ROAD-5TH FLOOR WARNER BLDG, MIAMI BEACH, FL, 33140

Managing Member

Name Role
MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC. Managing Member

Documents

Name Date
ANNUAL REPORT 2024-03-12
ANNUAL REPORT 2023-02-28
Florida Limited Liability 2022-06-07

Date of last update: 01 Feb 2025

Sources: Florida Department of State