| Entity Name: | PATIENT FIRST MEDICAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Feb 2024 (a year ago) |
| Document Number: | L24000081043 |
| Address: | 7 NW 136 AVE, MIAMI, FL, 33182, US |
| Mail Address: | 7 NW 136 AVE, MIAMI, FL, 33182, US |
| ZIP code: | 33182 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962254995 | 2024-04-03 | 2024-04-24 | 7 NW 136TH AVE, MIAMI, FL, 331821958, US | 7 NW 136TH AVE, MIAMI, FL, 331821958, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 305-303-7085 |
Authorized person
| Name | JULIO C ACOSTA |
| Role | MGR |
| Phone | 3053037085 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ACOSTA JULIO C | Agent | 7 NW 136 AVE, MIAMI, FL, 33182 |
| Name | Role | Address |
|---|---|---|
| PERERA JOSE | Authorized Member | 7 NW 136 AVE, MIAMI, FL, 33182 |
| Name | Role | Address |
|---|---|---|
| ACOSTA JULIO C | Manager | 7 NW 136 AVE, MIAMI, FL, 33182 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-02-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
