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SALAS PRIMARY CARE LLC

Company Details

Entity Name: SALAS PRIMARY CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 28 Jun 2023 (2 years ago)
Document Number: L23000309664
FEI/EIN Number 93-2421296
Address: 3665 East 4th Ave, Hialeah, FL 33013
Mail Address: 10501 SW 126TH AVE, MIAMI, FL 33186
ZIP code: 33013
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851072391 2023-07-27 2023-07-27 10501 SW 126TH AVE, MIAMI, FL, 331863658, US 10501 SW 126TH AVE, MIAMI, FL, 331863658, US

Contacts

Phone +1 305-916-1965

Authorized person

Name ERNESTO GARCIA
Role CEO
Phone 3059161965

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role Address
GARCIA, ERNESTO Agent 10501 SW 126 AVE, MIAMI, FL 33186

Chief Executive Officer

Name Role Address
GARCIA, ERNESTO Chief Executive Officer 10501 SW 126TH AVE, MIAMI, FL 33186

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-22 3665 East 4th Ave, Hialeah, FL 33013 No data

Documents

Name Date
ANNUAL REPORT 2024-03-22
Florida Limited Liability 2023-06-28

Date of last update: 09 Feb 2025

Sources: Florida Department of State