| Entity Name: | AMC PEDIATRIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Jan 2024 (a year ago) |
| Document Number: | L24000037453 |
| FEI/EIN Number | 991343570 |
| Address: | 10300 SW 72ND STREET, SUITE 444, MIAMI, FL, 33173, US |
| Mail Address: | 10300 SW 72ND STREET, SUITE 444, MIAMI, FL, 33173, US |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265297196 | 2024-02-20 | 2024-03-07 | 10300 SW 72ND ST STE 444, MIAMI, FL, 331733021, US | 10300 SW 72ND ST STE 444, MIAMI, FL, 331733021, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 786-712-5178 |
Authorized person
| Name | ALBERTO MONTERO |
| Role | OWNER |
| Phone | 7867125178 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MONTERO ALBERTO | Agent | 2121 RED RD, MIAMI, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| RICARDO MARIA | Vice President | 11909 SW 238TH TERR, HOMESTEAD, FL, 33032 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-22 | 10300 SW 72ND STREET, SUITE 444, MIAMI, FL 33173 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-22 | 10300 SW 72ND STREET, SUITE 444, MIAMI, FL 33173 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-01-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
