| Entity Name: | SABIA HEALTH PROVIDER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Dec 2023 (a year ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 20 Dec 2024 (a month ago) |
| Document Number: | M23000015450 |
| FEI/EIN Number | 93-4566035 |
| Address: | 31 VENETIAN WAY, UNIT 3500, MIAMI BEACH, FL 33139 |
| Mail Address: | 31 VENETIAN WAY, UNIT 3500, MIAMI BEACH, FL 33139 |
| ZIP code: | 33139 |
| County: | Miami-Dade |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659132611 | 2024-01-17 | 2024-06-14 | 31 VENETIAN WAY APT 3500, MIAMI BEACH, FL, 331398861, US | 31 VENETIAN WAY APT 3500, MIAMI BEACH, FL, 331398861, US | |||||||||||||||||
|
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| Phone | +1 954-699-7766 |
Authorized person
| Name | MR. ANGEL ANDRES MONGEOTTI |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 9546997766 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Seale, Christian Ambrose | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| SEALE, CHRISTIAN | Manager | 31 VENETIAN WAY, UNIT 3500, MIAMI BEACH, FL 33139 |
| Name | Role | Address |
|---|---|---|
| SEALE, CHRISTIAN | Member | 31 VENETIAN WAY, UNIT 3500, MIAMI BEACH, FL 33139 |
| Name | Role | Address |
|---|---|---|
| SEALE, CHRISTIAN | President | 31 VENETIAN WAY, UNIT 3500, MIAMI BEACH, FL 33139 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-12-20 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-12-20 | Seale, Christian Ambrose | No data |
| REVOKED FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-12-20 |
| Foreign Limited | 2023-12-08 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
