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THERON MEDICAL CENTER LLC

Company Details

Entity Name: THERON MEDICAL CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Oct 2024 (3 months ago)
Last Event: LC AMENDMENT
Event Date Filed: 22 Nov 2024 (2 months ago)
Document Number: L24000446921
FEI/EIN Number 331583843
Address: 7951 SW 40 TH ST SUITE 206, MIAMI, FL, 33155, US
Mail Address: 7951 SW 40 TH ST SUITE 206, MIAMI, FL, 33155, US
ZIP code: 33155
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295558104 2024-11-07 2024-11-07 7951 SW 40TH ST STE 206, MIAMI, FL, 331556752, US 7951 SW 40TH ST STE 206, MIAMI, FL, 331556752, US

Contacts

Phone +1 786-693-1191
Fax 7867236840

Authorized person

Name MS. LEONOR CASTILLO MARTINEZ
Role MGR/ADMINISTRATOR
Phone 7866931191

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role Address
LEONOR CASTILLO MARTINEZ Agent 7951 SW 40 TH ST SUITE 206, MIAMI, FL, 33155

Manager

Name Role Address
CASTILLO MARTINEZ LEONOR Manager 7951 SW 40 TH ST SUITE 206, MIAMI, FL, 33155

Events

Event Type Filed Date Value Description
LC AMENDMENT 2024-11-22 No data No data

Documents

Name Date
LC Amendment 2024-11-22
Florida Limited Liability 2024-10-21

Date of last update: 01 Feb 2025

Sources: Florida Department of State