| Entity Name: | MAXIMA MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Apr 2024 (10 months ago) |
| Document Number: | L24000157860 |
| Address: | 10540 NW 26 ST, G 201, DORAL, FL 33172 |
| Mail Address: | 10540 NW 26 ST, G 201, DORAL, FL 33172 |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568216422 | 2024-04-16 | 2024-04-16 | 10540 NW 26TH ST STE G201, DORAL, FL, 331725933, US | 10540 NW 26TH ST STE G201, DORAL, FL, 331725933, US | |||||||||||||||
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| Phone | +1 786-879-8040 |
| Fax | 7868798050 |
Authorized person
| Name | ADIARIS VALLE |
| Role | OWNER |
| Phone | 7868798040 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VALLE, ADIARIS | Agent | 10540 NW 26 ST, SUITE G 201, DORAL, FL 33172 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, GISELLE | Authorized Member | 10540 NW 26 ST SUITE G 201, DORAL, FL 33172 |
| VALLE, ADIARIS | Authorized Member | 10540 NW 26 ST SUITE G 201, DORAL, FL 33172 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-04-02 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
