| Entity Name: | VARONA MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Sep 2022 (2 years ago) |
| Document Number: | L22000404901 |
| FEI/EIN Number | 92-0545692 |
| Address: | 12510 SW 218 STREET, MIAMI, FL, 33170 |
| Mail Address: | 12510 SW 218 STREET, MIAMI, FL, 33170 |
| ZIP code: | 33170 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780375279 | 2023-05-16 | 2023-05-16 | 12510 SW 218TH ST, MIAMI, FL, 331702966, US | 12510 SW 218TH ST, MIAMI, FL, 331702966, US | |||||||||||||
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| Phone | +1 786-470-7241 |
Authorized person
| Name | LARITZA VARONA GONZALEZ |
| Role | OWNER |
| Phone | 7864707241 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VARONA GONZALEZ LARITZA | Agent | 12510 SW 218 STREET, MIAMI, FL, 33170 |
| Name | Role | Address |
|---|---|---|
| VARONA GONZALEZ LARITZA | Manager | 12510 SW 218 STREET, MIAMI, FL, 33170 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-03-07 |
| Florida Limited Liability | 2022-09-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
