| Entity Name: | CONCIERGE PEDIATRICS MIAMI BEACH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 May 2023 (2 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 27 Oct 2023 (a year ago) |
| Document Number: | L23000222294 |
| FEI/EIN Number | 92-3916364 |
| Address: | 2115 CENTRAL AVE, ST PETERSBURG, FL 33713 |
| Mail Address: | 2115 CENTRAL AVE, ST PETERSBURG, FL 33713 |
| ZIP code: | 33713 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669166559 | 2023-06-05 | 2023-06-05 | 2115 CENTRAL AVE, ST PETERSBURG, FL, 337138815, US | 410 W 41ST ST UNIT 406, MIAMI BEACH, FL, 331403504, US | |||||||||||||||
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| Phone | +1 727-688-8515 |
| Phone | +1 305-239-3119 |
Authorized person
| Name | MICHAEL CIBRAN |
| Role | PARTNER |
| Phone | 2768885157 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CONCIERGE PEDIATRICS MIAMI BEACH FL LLC | 2023 | 923916364 | 2024-08-10 | CONCIERGE PEDIATRICS MIAMI BEACH | 0 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-08-10 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| HEARN, PRESTON | Agent | 2115 CENTRAL AVE, ST PETERSBURG, FL 33713 |
| Name | Role | Address |
|---|---|---|
| Cibran, Michael | Manager | 2115 CENTRAL AVE, ST PETERSBURG, FL 33713 |
| Hearn, Preston | Manager | 2115 CENTRAL AVE, ST PETERSBURG, FL 33713 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2023-10-27 | CONCIERGE PEDIATRICS MIAMI BEACH LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-31 |
| LC Name Change | 2023-10-27 |
| Florida Limited Liability | 2023-05-04 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State
