| Entity Name: | PREMEDIX MEDICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Aug 2024 (5 months ago) |
| Document Number: | L24000376096 |
| FEI/EIN Number | 99-4762427 |
| Address: | 110 NW 27TH AVENUE, 1ST FLOOR, MIAMI, FL 33125--511 UN |
| Mail Address: | 110 NW 27TH AVENUE, 1ST FLOOR, MIAMI, FL 33125 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851127336 | 2024-09-11 | 2024-11-07 | 110 NW 27TH AVE STE 1, MIAMI, FL, 331255114, US | 110 NW 27TH AVE STE 1, MIAMI, FL, 331255114, US | |||||||||||||
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| Phone | +1 786-728-3338 |
Authorized person
| Name | DR. CESAR L PEREZ |
| Role | MNG |
| Phone | 7867283338 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ, CESAR | Agent | 110 NW 27TH AVENUE, 1ST FLOOR, MIAMI, FL 33125 |
| Name | Role | Address |
|---|---|---|
| PEREZ, CESAR | Manager | 110 NW 27TH AVENUE, MIAMI, FL 33125 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-27 |
Date of last update: 07 Feb 2025
Sources: Florida Department of State
