| Entity Name: | CORAZON DE JESUS MEDICAL CENTER,LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Oct 2023 (a year ago) |
| Document Number: | L23000484725 |
| FEI/EIN Number | 93-4097555 |
| Address: | 2260 SW 8 STREET, SUITE 306, MIAMI, FL 33135 |
| Mail Address: | 2260 SW 8 STREET, SUITE 306, MIAMI, FL 33135 |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174390454 | 2023-12-07 | 2024-03-12 | 4908 SW 8TH ST, CORAL GABLES, FL, 331342439, US | 4908 SW 8TH ST, CORAL GABLES, FL, 331342439, US | |||||||||||||||||||
|
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| Phone | +1 305-964-7749 |
| Fax | 7865342917 |
Authorized person
| Name | CARLOS ALBERTO DIAZ VALLADARES |
| Role | OWNER |
| Phone | 7864884301 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SEVILLA REYES, REINALDO | Agent | 2260 SW 8 STREET, SUITE 306, MIAMI, FL 33135 |
| Name | Role | Address |
|---|---|---|
| DIAZ, CARLOS A | Manager | 4908 SW 8TH STREET, CORAL GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| SEVILLA REYES, REINALDO | MANAGER | 2260 SW 8 STREET, SUITE 306 MIAMI, FL 33135 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-15 | 2260 SW 8 STREET, SUITE 306, MIAMI, FL 33135 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-15 | 2260 SW 8 STREET, SUITE 306, MIAMI, FL 33135 | No data |
| REGISTERED AGENT NAME CHANGED | 2025-01-15 | SEVILLA REYES, REINALDO | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-15 | 2260 SW 8 STREET, SUITE 306, MIAMI, FL 33135 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-15 | 4908 SW 8th Street, Coral Gables, FL 33134 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-15 | 4908 SW 8th Street, Coral Gables, FL 33134 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-02-04 |
| Florida Limited Liability | 2023-10-23 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
