| Entity Name: | ABBA MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Sep 2023 (a year ago) |
| Document Number: | L23000416339 |
| FEI/EIN Number | 93-3363304 |
| Address: | 11420 N KENDALL DR, 110, MIAMI, FL, 33176, US |
| Mail Address: | 11420 N KENDALL DR, 110, MIAMI, FL, 33176, US |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285499145 | 2024-02-19 | 2024-03-19 | 11420 N KENDALL DR STE 110, MIAMI, FL, 331761039, US | 11420 N KENDALL DR STE 110, MIAMI, FL, 331761039, US | |||||||||||||||||||||||
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| Phone | +1 786-353-2536 |
| Fax | 7863532521 |
Authorized person
| Name | JORGE ENRIQUE FERNANDEZ RAMIREZ |
| Role | OWNER/MEDICAL DOCTOR |
| Phone | 7863532536 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MENDOZA MOLERIO JULIO D | Agent | 11420 N KENDALL DR, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| MENDOZA MOLERIO JULIO D | Manager | 11420 N KENDALL DR STE 110, MIAMI, FL, 33176 |
| FERNANDEZ RAMIREZ JORGE | Manager | 11420 N KENDALL DR STE 110, MIAMI, FL, 33176 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-07 |
| Florida Limited Liability | 2023-09-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
