| Entity Name: | ALLU MIAMI MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Jun 2024 (7 months ago) |
| Document Number: | L24000284055 |
| FEI/EIN Number | 331672669 |
| Address: | 15668 SW 72ND ST, MIAMI, FL, 33193, US |
| Mail Address: | 15668 SW 72ND ST, MIAMI, FL, 33193, US |
| ZIP code: | 33193 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255153342 | 2024-10-29 | 2024-10-29 | 15668 SW 72ND ST, MIAMI, FL, 331931923, US | 15668 SW 72ND ST, MIAMI, FL, 331931923, US | |||||||||||||||||||||||||||
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| Phone | +1 786-697-1150 |
| Fax | 7865411526 |
Authorized person
| Name | ALEJANDRO MARQUEZ PAYNE |
| Role | CEO |
| Phone | 7863156818 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MARQUEZ PAYNE ALEJANDRO | Agent | 15660 SW 72ND ST, MIAMI, FL, 33193 |
| Name | Role | Address |
|---|---|---|
| MARQUEZ PAYNE ALEJANDRO | President | 15660 SW 72ND ST, MIAMI, FL, 33193 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-29 | 15668 SW 72ND ST, MIAMI, FL 33193 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-29 | 15668 SW 72ND ST, MIAMI, FL 33193 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
