| Entity Name: | KIM MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Jun 2022 (3 years ago) |
| Document Number: | L22000282196 |
| FEI/EIN Number | 88-2952374 |
| Address: | 1414 NW 107th Ave , Suite 304, Sweetwater, FL, 33172, US |
| Mail Address: | 1414 NW 107th Ave , Suite 304, Sweetwater, FL, 33172, US |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750070686 | 2023-05-05 | 2023-05-05 | 1414 NW 107TH AVE STE 304, SWEETWATER, FL, 331722742, US | 1414 NW 107TH AVE STE 304, SWEETWATER, FL, 331722742, US | |||||||||||||
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| Phone | +1 305-456-3190 |
Authorized person
| Name | JAVIER DUARTE |
| Role | OWNER |
| Phone | 3057464613 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COB JONATHAN | Agent | 3325 GRIFFIN RD, FORT LAUDERDALE, FL, 33312 |
| Name | Role | Address |
|---|---|---|
| DUARTE JAVIER | Manager | 1414 NW 107th Ave , Suite 304, Sweetwater, FL, 33172 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-07 | 1414 NW 107th Ave , Suite 304, Sweetwater, FL 33172 | No data |
| CHANGE OF MAILING ADDRESS | 2022-07-07 | 1414 NW 107th Ave , Suite 304, Sweetwater, FL 33172 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-18 |
| ANNUAL REPORT | 2023-03-16 |
| Florida Limited Liability | 2022-06-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
