| Entity Name: | MY VIRTUAL CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Aug 2023 (a year ago) |
| Document Number: | L23000395757 |
| FEI/EIN Number | 93-3062988 |
| Address: | 1890 S OCEAN DR, 1703, HALLANDALE BEACH, FL 33009 |
| Mail Address: | 1890 S OCEAN DR, 1703, HALLANDALE BEACH, FL 33009 |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730947698 | 2024-03-06 | 2024-03-06 | 1890 S OCEAN DR APT 1703, HALLANDALE BEACH, FL, 330097735, US | 1890 S OCEAN DR APT 1703, HALLANDALE BEACH, FL, 330097735, US | |||||||||||||||||
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| Phone | +1 786-682-4084 |
Authorized person
| Name | JOSE LUIS RIVERA MENDEZ |
| Role | MANAGER |
| Phone | 7866824084 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, ROBERTO | Agent | 8140 NW 74TH AVENUE, BAY 4, MEDLEY, FL 33166 |
| Name | Role | Address |
|---|---|---|
| RIVERA, JOSE L | Manager | 1890 S OCEAN DR APT 1703, MIAMI BEACH, FL 33009 |
| RIVERA, CANDICE M | Manager | 3637 BISCAYNE DR, WINTER SPRINGS, FL 32708 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-07 |
| ANNUAL REPORT | 2024-02-06 |
| Florida Limited Liability | 2023-08-22 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
