| Entity Name: | MOLINA'S MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Apr 2024 (10 months ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 06 May 2024 (9 months ago) |
| Document Number: | L24000168703 |
| FEI/EIN Number | 992489185 |
| Address: | 5600 SW 135 AVE, MIAMI, FL, 33183, US |
| Mail Address: | 5600 SW 135 AVE, MIAMI, FL, 33183, US |
| ZIP code: | 33183 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407678154 | 2024-10-24 | 2024-10-24 | 5600 SW 135TH AVE STE 205, MIAMI, FL, 331835101, US | 5600 SW 135TH AVE STE 205, MIAMI, FL, 331835101, US | |||||||||||||||||||
|
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| Phone | +1 305-603-9261 |
| Fax | 3056039283 |
Authorized person
| Name | LUIS MARIO MOLINA |
| Role | OWNER |
| Phone | 7862942772 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MOLINA LUIS M | Agent | 13851 SW 105TH ST, MIAMI, FL, 33186 |
| Name | Role | Address |
|---|---|---|
| MOLINA LUIS M | Manager | 13851 SW 105TH ST, MIAMI, FL, 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-05-06 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-06 | 5600 SW 135 AVE, STE 205, MIAMI, FL 33183 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-06 | 5600 SW 135 AVE, STE 205, MIAMI, FL 33183 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-05-06 |
| Florida Limited Liability | 2024-04-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
