| Entity Name: | MICHAEL R MIJARES MD, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Feb 2024 (a year ago) |
| Document Number: | L24000064358 |
| Address: | 7600 SW 87th Ave, MIAMI, FL, 33173, US |
| Mail Address: | 7600 SW 87th Ave, 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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164286530 | 2024-02-07 | 2024-02-07 | 7600 SW 87TH AVE STE 102, MIAMI, FL, 331733635, US | 7600 SW 87TH AVE STE 102, MIAMI, FL, 331733635, US | |||||||||||||
|
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| Phone | +1 305-209-1218 |
Authorized person
| Name | DR. MICHAEL R MIJARES |
| Role | OWNER |
| Phone | 3057258882 |
Taxonomy
| Taxonomy Code | 207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MIJARES MICHAEL R | Agent | 5820 SW 85 ST, MIAMI, FL, 33143 |
| Name | Role | Address |
|---|---|---|
| MIJARES MICHAEL R | Manager | 5820 SW 85 ST, MIAMI, FL, 33143 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000021117 | MIJARES ORTHOPEDICS | ACTIVE | 2024-02-07 | 2029-12-31 | No data | 7600 SW 87TH AVE, SUITE 102, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-19 | 7600 SW 87th Ave, Suite 102, MIAMI, FL 33173 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-19 | 7600 SW 87th Ave, Suite 102, MIAMI, FL 33173 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-02-05 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
