| Entity Name: | HEALTH MED CLINICAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Jun 2024 (8 months ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 10 Jul 2024 (7 months ago) |
| Document Number: | L24000251736 |
| FEI/EIN Number | 99-3330040 |
| Address: | 99 NW 183RD STREET, SUITE 227C, MIAMI GARDENS, FL 33169 |
| Mail Address: | 99 NW 183RD STREET, SUITE 227C, MIAMI GARDENS, FL 33169 |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356189880 | 2024-07-18 | 2024-07-18 | 99 NW 183RD ST STE 227, MIAMI, FL, 331694502, US | 99 NW 183RD ST STE 227, MIAMI, FL, 331694502, US | |||||||||||||||||||||||||||
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| Phone | +1 305-627-3195 |
| Fax | 3056273252 |
Authorized person
| Name | MR. BLANCA CARDENAS |
| Role | OWNER |
| Phone | 3056273195 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QX0100X - Occupational Medicine Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MUNIZ RODRIGUEZ, CASILDA L | Agent | 7275 WEST 15 AVENUE, HIALEAH, FL 33014 |
| Name | Role | Address |
|---|---|---|
| MUNIZ RODRIGUEZ, CASILDA L | Authorized Member | 7275 W 15 AVENUE, HIALEAH, FL 33014 UN |
| CARDENAS, BLANCA K | Authorized Member | 301 SW 182 WAY, PEMBROKE PINES, FL 33029 |
| RINCON, LUIS A | Authorized Member | 301 SW 182 WAY, PEMBROKE PINES, FL 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-07-10 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-10 | 99 NW 183RD STREET, SUITE 227C, MIAMI GARDENS, FL 33169 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-10 | 99 NW 183RD STREET, SUITE 227C, MIAMI GARDENS, FL 33169 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-07-10 |
| Florida Limited Liability | 2024-06-03 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
