| Entity Name: | MY MEDICAL PROVIDERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Dec 2023 (a year ago) |
| Document Number: | L23000553819 |
| FEI/EIN Number | 990583406 |
| Address: | 7969 NW 2ND STREET #1489, Miami, FL, 33126, US |
| Mail Address: | 7969 NW 2ND STREET #1489, Miami, FL, 33126, US |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346001732 | 2024-01-22 | 2024-10-22 | 7969 NW 2ND ST # 1489, MIAMI, FL, 331268018, US | 2820 NE 214TH ST STE 801, MIAMI, FL, 331801269, US | |||||||||||||||
|
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| Phone | +1 305-771-1089 |
| Fax | 3057712248 |
Authorized person
| Name | DR. JENNIFER GUERRERO |
| Role | MANAGER |
| Phone | 3057711089 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| GUERRERO JENNIFER | Manager | 7969 NW 2ND STREET #1489, MIAMI, FL, 33126 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000125988 | MY MEDICAL PROVIDERS | ACTIVE | 2024-10-10 | 2029-12-31 | No data | 7969 NW 2ND STREET, #1489, MIAMI, FL, 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-28 | 7969 NW 2ND STREET #1489, Miami, FL 33126 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-28 | 7969 NW 2ND STREET #1489, Miami, FL 33126 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2023-12-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
