Entity Name: | ANDRADE ENDOSURGERY, LLC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 01 Sep 2023 (a year ago) |
Document Number: | L23000411217 |
FEI/EIN Number | 93-3287973 |
Mail Address: | 21150 BISCAYNE BLVD, STE 104, MIAMI, FL, 33180, US |
Address: | 2801 NW 79 Ave, Doral, FL, 33122, US |
ZIP code: | 33122 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1932973591 | 2023-11-14 | 2024-02-07 | 21150 BISCAYNE BLVD STE 104, AVENTURA, FL, 331801231, US | 21150 BISCAYNE BLVD STE 104, AVENTURA, FL, 331801231, US | |||||||||||||||
|
Phone | +1 786-320-5022 |
Fax | 7863205088 |
Authorized person
Name | WERNER A ANDRADE ORTIZ |
Role | MD |
Phone | 7863205022 |
Taxonomy
Taxonomy Code | 208600000X - Surgery Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ANDRADE WERNER | Agent | 21150 BISCAYNE BLVD, MIAMI, FL, 33180 |
Name | Role | Address |
---|---|---|
ANDRADE WERNER | Authorized Member | 18545 SW 24TH STREET, MIRAMAR, FL, 33029 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-12-10 | 2801 NW 79 Ave, Suite 407, Doral, FL 33122 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2024-01-04 | 21150 BISCAYNE BLVD, STE 104, MIAMI, FL 33180 | No data |
CHANGE OF MAILING ADDRESS | 2024-01-04 | 21150 BISCAYNE BLVD, STE 104, MIAMI, FL 33180 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-01-04 | 21150 BISCAYNE BLVD, STE 104, MIAMI, FL 33180 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-04 |
Florida Limited Liability | 2023-09-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State