| Entity Name: | ANA CAMPUZANO, PRIMARY CARE SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ANA CAMPUZANO, PRIMARY CARE SERVICES, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 24 Jun 2022 (3 years ago) |
| Document Number: | L22000286275 |
| FEI/EIN Number |
88-2948254
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 18901 SW 106 AVE, Suite 209, MIAMI, FL, 33157, US |
| Mail Address: | 18901 SW 106 AVE, Suite 209, MIAMI, FL, 33157, US |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477321636 | 2023-12-18 | 2023-12-18 | 18901 SW 106TH AVE STE 209, CUTLER BAY, FL, 331577664, US | 18901 SW 106TH AVE STE 209, CUTLER BAY, FL, 331577664, US | |||||||||||||||
|
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| Phone | +1 305-992-1552 |
| Fax | 7866852447 |
Authorized person
| Name | ANA V CAMPUZANO |
| Role | PROVIDER |
| Phone | 7868089400 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Campuzano Ana V | Manager | 19220 SW 124 CT, MIAMI, FL, 33177 |
| CAMPUZANO ANA V | Agent | 19220 SW 124 CT, MIAMI, FL, 33177 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000060171 | PRIMARY AND MENTAL HEALTH CARE | ACTIVE | 2023-05-12 | 2028-12-31 | - | 19220 SW 124 CT, MIAMI, FL, 33177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-01 | 18901 SW 106 AVE, Suite 209, MIAMI, FL 33157 | - |
| CHANGE OF MAILING ADDRESS | 2024-02-01 | 18901 SW 106 AVE, Suite 209, MIAMI, FL 33157 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-04-08 |
| Florida Limited Liability | 2022-06-24 |
Date of last update: 02 May 2025
Sources: Florida Department of State
