| Entity Name: | PERSONAL CONCIERGMED, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Oct 2023 (a year ago) |
| Document Number: | L23000479563 |
| FEI/EIN Number | 933993293 |
| Address: | 4325 SW 95 AVE, MIAMI, FL, 33165, US |
| Mail Address: | 11455 SW 40th St, Unit 277, MIAMI, FL, 33165, US |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700652930 | 2023-11-29 | 2023-11-29 | 4325 SW 95TH AVE, MIAMI, FL, 331655245, US | 4325 SW 95TH AVE, MIAMI, FL, 331655245, US | |||||||||||||
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| Phone | +1 786-494-5605 |
Authorized person
| Name | DR. FARA VAZQUEZ |
| Role | OWNER |
| Phone | 3053891831 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VAZQUEZ FARA | Agent | 4325 SW 95 AVE, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ LIANET | Authorized Member | 4325 SW 95 AVE, MIAMI, FL, 33165 |
| VAZQUEZ FARA | Authorized Member | 4325 SW 95 AVE, MIAMI, FL, 33165 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-11-30 | 4325 SW 95 AVE, MIAMI, FL 33165 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| Florida Limited Liability | 2023-10-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
