| Entity Name: | PAIN SPECIALISTS OF KENDALL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Jun 2023 (2 years ago) |
| Document Number: | L23000301913 |
| FEI/EIN Number | 93-2068604 |
| Address: | 12340 SW 132 CT, MIAMI, FL 33186 |
| Mail Address: | 12340 SW 132 CT, MIAMI, FL 33186 |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477302560 | 2024-05-13 | 2024-05-13 | 12340 SW 132ND CT, MIAMI, FL, 331866451, US | 12340 SW 132ND CT, MIAMI, FL, 331866451, US | |||||||||||||||||
|
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| Phone | +1 786-250-4486 |
Authorized person
| Name | JOSSEL CALVEIRO |
| Role | MANAGER |
| Phone | 3052441041 |
Taxonomy
| Taxonomy Code | 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician |
| Is Primary | Yes |
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CALVEIRO, LIZABETH | Agent | 12340 SW 132 CT, MIAMI, FL 33186 |
| Name | Role | Address |
|---|---|---|
| CALVEIRO, LIZABETH | Authorized Member | 12340 SW 132 CT, MIAMI, FL 33186 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| Florida Limited Liability | 2023-06-22 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State
