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PLASTIC SURGERY MIAMI GROUP LLC

Company Details

Entity Name: PLASTIC SURGERY MIAMI GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 28 Aug 2023 (a year ago)
Document Number: L23000402570
FEI/EIN Number 93-3135757
Address: 4995 NW 72 AVE STE 307, MIAMI, FL 33166
Mail Address: 4995 NW 72 AVE STE 307, MIAMI, FL 33166
ZIP code: 33166
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144093873 2023-11-03 2023-11-03 4995 NW 72ND AVE STE 307, MIAMI, FL, 331665643, US 4995 NW 72ND AVE STE 307, MIAMI, FL, 331665643, US

Contacts

Phone +1 786-314-7193

Authorized person

Name LOURDES TERESA CARABEO
Role OWNER
Phone 7863147193

Taxonomy

Taxonomy Code 208200000X - Plastic Surgery Physician
Is Primary Yes

Agent

Name Role Address
CARABEO MORENO, LOURDES TERESA Agent 4995 NW 72 AVE STE 307, MIAMI, FL 33166

Authorized Member

Name Role Address
CARABEO MORENO, LOURDES TERESA Authorized Member 4995 NW 72 AVE STE 307, MIAMI, FL 33166

Documents

Name Date
ANNUAL REPORT 2024-04-26
Florida Limited Liability 2023-08-28

Date of last update: 09 Feb 2025

Sources: Florida Department of State