| Entity Name: | GOOD LISTENER MEDICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 May 2024 (9 months ago) |
| Document Number: | L24000209706 |
| FEI/EIN Number | 99-2991103 |
| Address: | 6371 COW PEN RD, S202, MIAMI LAKES, FL 33014 |
| Mail Address: | 6371 COW PEN RD, S202, MIAMI LAKES, FL 33014 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437908472 | 2024-05-14 | 2024-05-14 | 6371 COW PEN RD APT S202, MIAMI LAKES, FL, 330142232, US | 6371 COW PEN RD APT S202, MIAMI LAKES, FL, 330142232, US | |||||||||||||
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| Phone | +1 786-906-5038 |
Authorized person
| Name | DR. ANDRES MICHEL GUTIERREZ |
| Role | PRIMARY CARE PROVIDER |
| Phone | 7869065038 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GUTIERREZ, ANDRES M | Agent | 6371 COW PEN RD, S202, MIAMI LAKES, FL 33014 |
| Name | Role | Address |
|---|---|---|
| GUTIERREZ, ANDRES M, M.D. | Manager | 6371 COW PEN RD APT S202, MIAMI LAKES, FL 33014 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-05-06 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
