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CONVIDA MEDICAL SERVICES L.L.C. - Florida Company Profile

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Company Details

Entity Name: CONVIDA MEDICAL SERVICES L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Dec 2022 (3 years ago)
Document Number: L22000511876
FEI/EIN Number 92-1276462
Address: 12030 SW 129TH COURT, 203, MIAMI, FL, 33186
Mail Address: 12030 SW 129TH COURT, 203, MIAMI, FL, 33186
ZIP code: 33186
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MACIAS-RODRIGUEZ JOSE President 12030 SW 129TH COURT SUITE 203, MIAMI, FL, 33186
MACIAS-RODRIGUEZ JOSE Agent 12030 SW 129TH COURT, MIAMI, FL, 33186

National Provider Identifier

NPI Number:
1952012148
Certification Date:
2023-02-07

Authorized Person:

Name:
JOSE MACIAS-RODRIGUEZ
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
103K00000X - Behavior Analyst
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000049741 CONVIDA INSURANCE AGENCY ACTIVE 2023-04-19 2028-12-31 - 12030 SW 129TH COURT, STE 203, MIAMI, FL, 33186

Documents

Name Date
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-03-28
Florida Limited Liability 2022-12-06

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Date of last update: 02 Aug 2025

Sources: Florida Department of State