| Entity Name: | SPRINGS MEDICAL PARTNERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Jun 2023 (2 years ago) |
| Document Number: | L23000295795 |
| FEI/EIN Number | 93-3847870 |
| Address: | 1778 W FLAGLER ST, STE 101, MIAMI, FL 33135 |
| Mail Address: | 1778 W FLAGLER ST, STE 101, MIAMI, FL 33135 |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164203444 | 2023-10-11 | 2023-10-11 | 1778 W FLAGLER ST STE 101, MIAMI, FL, 331352017, US | 1778 W FLAGLER ST STE 101, MIAMI, FL, 331352017, US | |||||||||||||||||
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| Phone | +1 305-317-6091 |
Authorized person
| Name | YADIRA MONTALVO |
| Role | PRESIDENT |
| Phone | 7864434361 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| Is Primary | Yes |
| Taxonomy Code | 305S00000X - Point of Service |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MONTALVO, YADIRA | Agent | 1778 W FLAGLER ST, STE 101, MIAMI, FL 33135 |
| Name | Role | Address |
|---|---|---|
| MONTALVO, YADIRA | Manager | 1778 W FLAGLER ST., STE 101 MIAMI, FL 33135 |
| Name | Role | Address |
|---|---|---|
| Osorio, Merlin Ivan | President | 1778 W FLAGLER ST, STE 101 MIAMI, FL 33135 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-07 | 1778 W FLAGLER ST, STE 101, MIAMI, FL 33135 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-07 | 1778 W FLAGLER ST, STE 101, MIAMI, FL 33135 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-07 | 1778 W FLAGLER ST, STE 101, MIAMI, FL 33135 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| Florida Limited Liability | 2023-06-20 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
