| Entity Name: | PRO LIFE HEALTH MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Oct 2023 (a year ago) |
| Document Number: | L23000483908 |
| FEI/EIN Number | 93-4106673 |
| Address: | 12985 SW 130CT, MIAMI, FL, 33186, US |
| Mail Address: | 12985 SW 130CT, MIAMI, FL, 33186, US |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518714591 | 2024-05-06 | 2024-05-06 | 12985 SW 130TH CT UNIT 105, MIAMI, FL, 331865344, US | 12985 SW 130TH CT UNIT 105, MIAMI, FL, 331865344, US | |||||||||||||
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| Phone | +1 786-616-1427 |
Authorized person
| Name | BETSABE ZALDIVAR |
| Role | PRESIDENT |
| Phone | 7866161427 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZALDIVAR BETSABE | Agent | 12985 SW 130CT, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| ZALDIVAR BETSABE | Manager | 12985 SW 130CT, MIAMI, FL, 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-20 | 12985 SW 130CT, SUITE 105, MIAMI, FL 33186 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-20 | 12985 SW 130CT, SUITE 105, MIAMI, FL 33186 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-20 | 12985 SW 130CT, SUITE 105, MIAMI, FL 33186 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| Florida Limited Liability | 2023-10-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
