| Entity Name: | A&B CLINIC MEDICAL CENTER,LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Jun 2022 (3 years ago) |
| Document Number: | L22000293357 |
| FEI/EIN Number | 88-3060697 |
| Address: | 10651 N Kendal DR, ste 217, Miami, FL 33176 |
| Mail Address: | 10651 N Kendal DR, ste 217, Miami, FL 33176 |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659005858 | 2022-07-13 | 2024-09-12 | 10651 N KENDALL DR STE 217, MIAMI, FL, 331761545, US | 10651 N KENDALL DR STE 217, MIAMI, FL, 331761545, US | |||||||||||||||||||||
|
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| Phone | +1 786-461-9549 |
Authorized person
| Name | EDUARDO PENA BELLO |
| Role | OWNER |
| Phone | 7864619549 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR1100X - Research Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Pena Bello , Eduardo | Agent | 10651 N Kendal DR, ste 217, Miami, FL 33176 |
| Name | Role | Address |
|---|---|---|
| PENA BELLO, EDUARDO | Manager | 10651 N Kendal DR, ste 217 Miami, FL 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 10651 N Kendal DR, ste 217, Miami, FL 33176 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 10651 N Kendal DR, ste 217, Miami, FL 33176 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-30 | Pena Bello , Eduardo | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 10651 N Kendal DR, ste 217, Miami, FL 33176 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-07-15 |
| AMENDED ANNUAL REPORT | 2024-06-03 |
| AMENDED ANNUAL REPORT | 2024-05-24 |
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-01-17 |
| Florida Limited Liability | 2022-06-29 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
