| Entity Name: | SOMOS VIDA MEDICAL MULTISERVICE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Jan 2023 (2 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 29 Jan 2024 (a year ago) |
| Document Number: | L23000014091 |
| FEI/EIN Number | 92-1711926 |
| Address: | 4910 E 2ND AVE, HIALEAH, FL 33013 |
| Mail Address: | 4910 E 2ND AVE, HIALEAH, FL 33013 |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861108342 | 2023-01-27 | 2023-01-27 | 4064 SW 69TH AVE, MIRAMAR, FL, 330236688, US | 4064 SW 69TH AVE, MIRAMAR, FL, 330236688, US | |||||||||||||||
|
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| Phone | +1 954-239-8860 |
| Fax | 9542398847 |
Authorized person
| Name | YUDITH PANDO |
| Role | OWNER/ APRN |
| Phone | 9542398860 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PANDO, YUDITH | Agent | 4064 SW 69 AVE, MIRAMAR, FL 33023 |
| Name | Role | Address |
|---|---|---|
| PANDO, YUDITH | Manager | 4910 E 2ND AVE, HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, LOURDES ESTHER | Authorized Member | 4910 E 2ND AVE, HIALEAH, FL 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-01-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-29 | 4910 E 2ND AVE, HIALEAH, FL 33013 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-29 | 4910 E 2ND AVE, HIALEAH, FL 33013 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-31 |
| LC Amendment | 2024-01-29 |
| Florida Limited Liability | 2023-01-05 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
