| Entity Name: | PERIDOT HEALTH GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Dec 2023 (a year ago) |
| Document Number: | L23000542656 |
| FEI/EIN Number | 93-4628540 |
| Address: | 7374 SW 93rd AVENUE, STE 202-B, MIAMI, FL 33173 |
| Mail Address: | 7374 SW 93rd AVENUE, STE 202-B, MIAMI, FL 33173 |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447091699 | 2024-06-03 | 2024-06-03 | 550 BILTMORE WAY STE 1201, CORAL GABLES, FL, 331345730, US | 550 BILTMORE WAY STE 1201, CORAL GABLES, FL, 331345730, US | |||||||||||||
|
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| Phone | +1 305-712-7777 |
Authorized person
| Name | RICHARD R MACHADO |
| Role | MANAGER |
| Phone | 3053338870 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LORES LAW PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| MACHADO, RICHARD | Authorized Member | 7374 SW 93rd AVENUE, STE 202-B MIAMI, FL 33173 |
| MACHADO, INGRID | Authorized Member | 7374 SW 93rd AVENUE, STE 202-B MIAMI, FL 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-11 | 7374 SW 93rd AVENUE, STE 202-B, MIAMI, FL 33173 | No data |
| CHANGE OF MAILING ADDRESS | 2024-11-11 | 7374 SW 93rd AVENUE, STE 202-B, MIAMI, FL 33173 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-11-11 | 10621 NORTH KENDALL DRIVE, STE 209, MIAMI, FL 33176 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-11-11 |
| ANNUAL REPORT | 2024-05-28 |
| Florida Limited Liability | 2023-12-07 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
