| Entity Name: | MAGDALENE COMMUNITY CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| 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 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922832302 | 2024-08-28 | 2024-08-28 | 99 NW 183RD ST STE 206, MIAMI GARDENS, FL, 331694553, US | 99 NW 183RD ST STE 206, MIAMI GARDENS, FL, 331694553, US | |||||||||||||
|
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| Phone | +1 305-224-8763 |
Authorized person
| Name | PAULA WRIGHT |
| Role | CEO |
| Phone | 3052248763 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WRIGHT, PAULA | Agent | 99 NW 183RD STREET, 206, MIAMI GARDENS, FL 33169 |
| Name | Role | Address |
|---|---|---|
| WRIGHT, PAULA | Chief Executive Officer | 99 NW 183RD STREET, SUITE 206, MIAMI GARDENS, FL 33169 |
| Name | Role | Address |
|---|---|---|
| Acosta, Juan | Authorized Member | 99 NW 183RD STREET, 206 MIAMI GARDENS, FL 33169 |
| Name | Role |
|---|---|
| WRIGHT AND JAMES LLC | Chairman |
| Name | Role | Address |
|---|---|---|
| Shauntavia, Powell | Vice Chairman | 99 NW 183RD STREET, 206 MIAMI GARDENS, FL 33169 |
| Name | Role | Address |
|---|---|---|
| Havard, Ulysses | Director | 99 NW 183RD STREET, 206 MIAMI GARDENS, FL 33169 |
| Baltimore, Rodney | Director | 99 NW 183RD STREET, 206 MIAMI GARDENS, FL 33169 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| Florida Limited Liability | 2024-02-07 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
