| Entity Name: | IVES MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Jan 2024 (a year ago) |
| Document Number: | L24000036638 |
| Address: | 1031 IVES DAIRY ROAD, SUITE 228, MIAMI, FL 33179 |
| Mail Address: | 1031 IVES DAIRY ROAD, SUITE 228, MIAMI, FL 33179 |
| ZIP code: | 33179 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245092444 | 2024-01-24 | 2024-01-24 | 1031 IVES DAIRY RD STE 228, MIAMI, FL, 331792538, US | 1800 NW CORPORATE BLVD STE 201, BOCA RATON, FL, 334317336, US | |||||||||||||||||
|
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| Phone | +1 305-910-2801 |
Authorized person
| Name | TAMMY CARPENTER |
| Role | OFFICE MANAGER |
| Phone | 3059102801 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | Yes |
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | No |
| Name | Role |
|---|---|
| CORPORATE CREATIONS NETWORK INC. | Agent |
| Name | Role | Address |
|---|---|---|
| MANTOR, DAVID | Manager | 1031 IVES DAIRY ROAD, SUITE 228, MIAMI, FL 33179 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-01-23 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
