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MAGDALENE COMMUNITY CLINIC, LLC - Florida Company Profile

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Company Details

Entity Name: MAGDALENE COMMUNITY CLINIC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 07 Feb 2024 (a year ago)
Document Number: L24000070101
FEI/EIN Number 99-1197362
Address: 99 NW 183RD STREET, 206, MIAMI GARDENS, FL, 33169
Mail Address: 99 NW 183RD STREET, 206, MIAMI GARDENS, FL, 33169
ZIP code: 33169
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WRIGHT PAULA Chief Executive Officer 99 NW 183RD STREET, SUITE 206, MIAMI GARDENS, FL, 33169
Acosta Juan Auth 99 NW 183RD STREET, MIAMI GARDENS, FL, 33169
Wright James Chairman 99 NW 183RD STREET, MIAMI GARDENS, FL, 33169
Shauntavia Powell Vice Chairman 99 NW 183RD STREET, MIAMI GARDENS, FL, 33169
Havard Ulysses Director 99 NW 183RD STREET, MIAMI GARDENS, FL, 33169
Baltimore Rodney Director 99 NW 183RD STREET, MIAMI GARDENS, FL, 33169
WRIGHT PAULA Agent 99 NW 183RD STREET, MIAMI GARDENS, FL, 33169

National Provider Identifier

NPI Number:
1922832302
Certification Date:
2024-11-12

Authorized Person:

Name:
PAULA WRIGHT
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2025-01-06
Florida Limited Liability 2024-02-07

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Date of last update: 01 Jul 2025

Sources: Florida Department of State