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CONCIERGE PULMONARY GROUP LLC

Company Details

Entity Name: CONCIERGE PULMONARY GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 29 Jan 2024 (a year ago)
Last Event: LC AMENDMENT
Event Date Filed: 22 May 2024 (9 months ago)
Document Number: L24000051827
FEI/EIN Number 99-1195344
Address: 10925 SW 26TH STREET, MIAMI, FL 33165
Mail Address: 10925 SW 26TH STREET, MIAMI, FL 33165
ZIP code: 33165
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104684059 2024-03-06 2024-03-06 10925 SW 26TH ST, MIAMI, FL, 331652301, US 10925 SW 26TH ST, MIAMI, FL, 331652301, US

Contacts

Phone +1 305-799-5526

Authorized person

Name MARIA CAMPOS YATZKAN
Role OWNER
Phone 3057995526

Taxonomy

Taxonomy Code 207RP1001X - Pulmonary Disease Physician
Is Primary Yes

Agent

Name Role Address
CAMPOS, MARIA Agent 10925 SW 26TH ST, MIAMI, FL 33165

Authorized Member

Name Role Address
CAMPOS, MARIA Authorized Member 10925 SW 26TH ST, MIAMI, FL 33165

Events

Event Type Filed Date Value Description
LC AMENDMENT 2024-05-22 No data No data

Documents

Name Date
LC Amendment 2024-05-22
Florida Limited Liability 2024-01-29

Date of last update: 09 Feb 2025

Sources: Florida Department of State