| Entity Name: | PCS OF FLORIDA I, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Oct 2023 (a year ago) |
| Document Number: | L23000491921 |
| FEI/EIN Number | 93-4141230 |
| Address: | 3750 NW 87 AVENUE, 500, DORAL, FL 33178 |
| Mail Address: | 3750 NW 87 AVENUE, 500, DORAL, FL 33178 |
| ZIP code: | 33178 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326805714 | 2024-03-01 | 2024-03-01 | 3750 NW 87TH AVE STE 500, DORAL, FL, 331782433, US | 3750 NW 87TH AVE STE 500, DORAL, FL, 331782433, US | |||||||||||||
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| Phone | +1 305-284-7484 |
Authorized person
| Name | JOSE PELAYO |
| Role | CEO |
| Phone | 3052847484 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DOMINGUEZ, JENNIFER H | Agent | 3750 NW 87 AVENUE, 500, DORAL, FL 33178 |
| Name | Role | Address |
|---|---|---|
| JOHNSON, RON | Manager | 3750 NW 87 AVENUE SUITE 500, DORAL, FL 33178 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| Florida Limited Liability | 2023-10-27 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
