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ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC - Florida Company Profile

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Company Details

Entity Name: ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 May 2025 (2 months ago)
Document Number: L25000236625
Address: 6100 BLUE LAGOON DRIVE, STE. 365, MIAMI, 33126
Mail Address: 7700 FORSYTH BLVD., ST. LOUIS, MO63105, US
ZIP code: 33126
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
KOSTER CHRISTOPHER Manager 7700 FORSYTH BLVD., ST. LOUIS, MO63105
CHERVITZ CHARLES Manager 7700 FORSYTH BLVD., ST. LOUIS, MO63105

National Provider Identifier

NPI Number:
1588558423
Certification Date:
2025-06-05

Authorized Person:

Name:
RAYNY RAMIREZ
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000071817 COMMUNITY MEDICAL GROUP ACTIVE 2025-06-03 2030-12-31 - 7700 FORSYTH BLVD., ST. LOUIS, MO, 63105

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Date of last update: 16 Jun 2025

Sources: Florida Department of State