| Entity Name: | SERENITY PRIMARY CARE MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Feb 2024 (a year ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 31 May 2024 (8 months ago) |
| Document Number: | L24000060118 |
| FEI/EIN Number | 991170883 |
| Address: | 5700 NORTH FEDERAL HIGHWAY, FORT LAUDERDALE, FL, 33308, US |
| Mail Address: | 1360 s ocean blvd, POMPANO BEACH, FL, 33062, US |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487419347 | 2024-02-19 | 2024-10-21 | 1360 S OCEAN BLVD APT 2502, POMPANO BEACH, FL, 330627150, US | 5700 N FEDERAL HWY STE 2A, FORT LAUDERDALE, FL, 333082600, US | |||||||||||||||
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| Phone | +1 954-562-2057 |
| Fax | 9544195681 |
Authorized person
| Name | DR. CORALEE D CAMARGO |
| Role | MD |
| Phone | 9545622057 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CAMARGO CORALI DMD | Agent | 5700 NORTH FEDERAL HIGHWAY, FORT LAUDERDALE, FL, 33308 |
| Name | Role | Address |
|---|---|---|
| DAISY CAMARGO CORALEE | Manager | 5700 NORTH FEDERAL HIGHWAY STE 2A, FORT LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-05-31 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-16 | 5700 NORTH FEDERAL HIGHWAY, STE 2A, FORT LAUDERDALE, FL 33308 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-16 | 5700 NORTH FEDERAL HIGHWAY, STE 2A, FORT LAUDERDALE, FL 33308 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-05-31 |
| Florida Limited Liability | 2024-02-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
