| Entity Name: | MC PULMONARY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Mar 2024 (a year ago) |
| Document Number: | L24000132597 |
| FEI/EIN Number | 992119428 |
| Address: | 10925 SW 26TH STREET, MIAMI, FL, 33165, US |
| Mail Address: | 10925 SW 26TH STREET, MIAMI, FL, 33165, US |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396596797 | 2024-04-01 | 2024-04-01 | 10925 SW 26TH ST, MIAMI, FL, 331652301, US | 10925 SW 26TH ST, MIAMI, FL, 331652301, US | |||||||||||||||||||
|
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| Phone | +1 305-799-5526 |
| Fax | 3054042340 |
Authorized person
| Name | JORGE A GARCIA |
| Role | CREDENTIALING DIRECTOR |
| Phone | 3056060337 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CAMPOS MARIA | Agent | 10925 SW 26TH STREET, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| CAMPOS MARIA | Authorized Member | 10925 SW 26TH STREET, MIAMI, FL, 33165 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
