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HOLLY MEDICAL CLINIC LLC - Florida Company Profile

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Company Details

Entity Name: HOLLY MEDICAL CLINIC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 Apr 2025 (4 months ago)
Document Number: L25000169948
FEI/EIN Number 334542566
Mail Address: 9720 SW 37TH TER, MIAMI, FL, 33165, US
Address: 959 SW 122 AVE, MIAMI, FL, 33184, US
ZIP code: 33184
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DE LA CARIDAD LOZANOIVELICE Manager 959 SW 122 AVE, MIAMI, FL, 33184
MARICHAL JOSE Manager 9720 SW 37TH TER, MIAMI, FL, 33165
MARICHAL JOSE Agent 9720 SW 37TH TER, MIAMI, FL, 33165

National Provider Identifier

NPI Number:
1992594766
Certification Date:
2025-06-18

Authorized Person:

Name:
IVELICE D LOZANO OLIVER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
No

Contacts:

Fax:
7868172341

Events

Event Type Filed Date Value Description
LC AMENDMENT 2025-04-21 - -

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Date of last update: 03 Aug 2025

Sources: Florida Department of State