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ACCESS MEDICAL GROUP OF SAND LAKE, LLC - Florida Company Profile

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Company Details

Entity Name: ACCESS MEDICAL GROUP OF SAND LAKE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Jan 2025 (7 months ago)
Document Number: L25000016472
Mail Address: 7700 FORSYTH BLVD., ST. LOUIS, MO, 63105, US
Address: 6100 BLUE LAGOON DRIVE, MIAMI, FL, 33126, US
ZIP code: 33126
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
CHERVITZ CHARLES Manager 6100 BLUE LAGOON DRIVE, MIAMI, FL, 33126
KOSTER CHRISTOPHER Manager 7700 FORSYTH BLVD., ST. LOUIS, MO, 63105

National Provider Identifier

NPI Number:
1881499861
Certification Date:
2025-04-09

Authorized Person:

Name:
RAYNY RAMIREZ
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207QA0505X - Adult Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4072201975

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000008702 COMMUNITY MEDICAL GROUP ACTIVE 2025-01-21 2030-12-31 - 6100 BLUE LAGOON DR, STE. 365, MIAMI, FL, 33126

Events

Event Type Filed Date Value Description
LC AMENDMENT 2025-06-04 - -

Documents

Name Date
Florida Limited Liability 2025-01-08

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Date of last update: 01 Jul 2025

Sources: Florida Department of State