| Entity Name: | NEXT LEVEL MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Jun 2022 (3 years ago) |
| Document Number: | L22000286278 |
| FEI/EIN Number | 88-2947655 |
| Address: | 17220 NW 64 AVE, 309, MIAMI, FL 33015 |
| Mail Address: | 17220 NW 64 AVE, 309, MIAMI, FL 33015 |
| ZIP code: | 33015 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902585623 | 2023-07-12 | 2023-07-12 | 7772 DILIDO BLVD, MIRAMAR, FL, 330236402, US | 10251 SW 72ND ST STE 102, MIAMI, FL, 331732957, US | |||||||||||||
|
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| Phone | +1 305-490-2500 |
Authorized person
| Name | BEVERLY JOHNSON |
| Role | ADMINISTRATOR |
| Phone | 3053085398 |
Taxonomy
| Taxonomy Code | 207QA0000X - Adolescent Medicine (Family Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOHNSON, BEVERLY | Agent | 17220 NW 64 AVE, 309, MIAMI, FL 33015 |
| Name | Role | Address |
|---|---|---|
| JOHNSON, BEVERLY | Manager | 17220 NW 64 AVE 309, MIAMI, FL 33015 |
| Name | Role | Address |
|---|---|---|
| Orcasita, Jose A, MD | Vice President | 17220 NW 64 AVE, 309 MIAMI, FL 33015 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| AMENDED ANNUAL REPORT | 2023-07-26 |
| ANNUAL REPORT | 2023-01-25 |
| Florida Limited Liability | 2022-06-24 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
