| Entity Name: | CENTENNIAL MEDICAL CENTERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 May 2023 (2 years ago) |
| Document Number: | L23000222499 |
| FEI/EIN Number | 92-3897413 |
| Mail Address: | 5959 COLLINS AVE, APT 1504, MIAMI BEACH, FL, 33140 |
| Address: | 2601 SW 37 Ave, Miami, FL, 33133, US |
| ZIP code: | 33133 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881461630 | 2023-12-11 | 2024-04-02 | 5959 COLLINS AVE APT 1504, MIAMI BEACH, FL, 331402292, US | 2601 SW 37TH AVE STE 802, MIAMI, FL, 331332751, US | |||||||||||||||||
|
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| Phone | +1 305-834-5353 |
Authorized person
| Name | JOEL GONZALEZ |
| Role | MGR |
| Phone | 3058345353 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GONZALEZ JOEL | Agent | 5959 COLLINS AVE, MIAMI BEACH, FL, 33140 |
| Name | Role |
|---|---|
| JOEL GONZALEZ MD, LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-08 | 2601 SW 37 Ave, Suite 802, Miami, FL 33133 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| Florida Limited Liability | 2023-05-05 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
