| Entity Name: | DR. THAMAR MAURICE-BUTLER MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Dec 2022 (2 years ago) |
| Document Number: | L22000511337 |
| FEI/EIN Number | 92-1161385 |
| Address: | 99 NW 183rd street, Suite 120, Miami Gardens, FL 33169 |
| Mail Address: | 99 NW 183rd street, Suite 120, Miami Gardens, FL 33169 |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912690553 | 2023-05-30 | 2023-05-30 | 66 W FLAGLER ST FL 9, MIAMI, FL, 331301887, US | 66 W FLAGLER ST FL 9, MIAMI, FL, 331301887, US | |||||||||||||
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| Phone | +1 305-490-6797 |
Authorized person
| Name | DR. THAMAR MAURICE-BUTLER |
| Role | PRESIDENT |
| Phone | 3054906797 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MAURICE, THAMAR, Dr. | Agent | 66 WEST FLAGLER STREET, 9TH FLOOR SUITE 7588, MIAMI, FL 33130 |
| Name | Role | Address |
|---|---|---|
| MAURICE, THAMAR, DR. | Manager | 99 NW 183RD STREET, MIAMI GARDENS, FL 33169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-24 | 99 NW 183rd street, Suite 120, Miami Gardens, FL 33169 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-24 | 99 NW 183rd street, Suite 120, Miami Gardens, FL 33169 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-03-08 | MAURICE, THAMAR, Dr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-04-30 |
| Florida Limited Liability | 2022-12-05 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
