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PAIN SPECIALISTS OF NORTH MIAMI LLC

Company Details

Entity Name: PAIN SPECIALISTS OF NORTH MIAMI LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 Nov 2023 (a year ago)
Document Number: L23000509166
FEI/EIN Number 93-4572049
Mail Address: 11900 BISCAYNE BLVD, NORTH MIAMI, FL, 33181, US
Address: 11900 BISCAYNE BLVD, SUITE 266, NORTH MIAMI, FL, 33181, US
ZIP code: 33181
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578390399 2024-09-16 2024-09-16 11900 BISCAYNE BLVD STE 266, NORTH MIAMI, FL, 331812756, US 11900 BISCAYNE BLVD STE 266, NORTH MIAMI, FL, 331812756, US

Contacts

Phone +1 786-963-7135

Authorized person

Name MOISES GARCIA
Role MANAGING MEMBER
Phone 3052189990

Taxonomy

Taxonomy Code 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
Is Primary No
Taxonomy Code 2081S0010X - Sports Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary Yes

Agent

Name Role Address
GARCIA MOISES I Agent 12930 AURALIA RD, NORTH MIAMI, FL, 33181

Manager

Name Role Address
GARCIA MOISES I Manager 11900 BISCAYNE BLVD, NORTH MIAMI, FL, 33181

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-07 11900 BISCAYNE BLVD, SUITE 266, NORTH MIAMI, FL 33181 No data
CHANGE OF MAILING ADDRESS 2024-01-07 11900 BISCAYNE BLVD, SUITE 266, NORTH MIAMI, FL 33181 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-04-11
ANNUAL REPORT 2024-01-07
Florida Limited Liability 2023-11-09

Date of last update: 02 Feb 2025

Sources: Florida Department of State