| Entity Name: | RAFAEL MESTRE FAMILY PRACTICE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 12 Feb 2024 (a year ago) |
| Document Number: | L24000075329 |
| FEI/EIN Number | 99-1738193 |
| Address: | 30231 SW 148 PL, HOMESTEAD, FL 33033 |
| Mail Address: | 30231 SW 148 PL, HOMESTEAD, FL 33033 |
| ZIP code: | 33033 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225898885 | 2024-03-20 | 2024-03-20 | 30231 SW 148TH PL, HOMESTEAD, FL, 330333836, US | 30231 SW 148TH PL, HOMESTEAD, FL, 330333836, US | |||||||||||||
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| Phone | +1 786-307-5292 |
Authorized person
| Name | RAFAEL MESTRE |
| Role | CEO |
| Phone | 7863075292 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MESTRE, RAFAEL | Agent | 30231 SW 148 PL, HOMESTEAD, FL 33033 |
| Name | Role | Address |
|---|---|---|
| MESTRE, RAFAEL | Chief Executive Officer | 30231 SW 148 PL, HOMESTEAD, FL 33033 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-02-12 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
