Entity Name: | PRIMENET MEDICAL GROUP OF KENDALL, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 21 Dec 2001 (23 years ago) |
Document Number: | P01000120650 |
FEI/EIN Number | 010550131 |
Address: | 9000 SW 137th Avenue, SUITE 115, MIAMI, FL, 33186, US |
Mail Address: | 9000 SW 137th Avenue, SUITE 115, MIAMI, FL, 33186, US |
ZIP code: | 33186 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1093007387 | 2011-05-05 | 2015-05-21 | 9000 SW 137TH AVE, SUITE 115, MIAMI, FL, 331861411, US | 9000 SW 137TH AVE, SUITE 115, MIAMI, FL, 331861411, US | |||||||||||||||||||||||||||
|
Phone | +1 305-387-1981 |
Fax | 3053871939 |
Authorized person
Name | MRS. MAGGIE TORRES |
Role | ADMINSTRATOR |
Phone | 9549831220 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 037965400 |
State | FL |
Issuer | MEDICAID |
Number | 045341200 |
State | FL |
Name | Role | Address |
---|---|---|
TORRES J. RAMON | Agent | 9000 SW 137th Avenue, MIAMI, FL, 33186 |
Name | Role | Address |
---|---|---|
TORRES J. RAMON | President | 9000 SW 137th Avenue, MIAMI, FL, 33186 |
Name | Role | Address |
---|---|---|
TORRES J. RAMON | Director | 9000 SW 137th Avenue, MIAMI, FL, 33186 |
Name | Role | Address |
---|---|---|
TORRES MAGGIE | Vice President | 9000 SW 137th Avenue, MIAMI, FL, 33186 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2014-02-19 | 9000 SW 137th Avenue, SUITE 115, MIAMI, FL 33186 | No data |
CHANGE OF MAILING ADDRESS | 2014-02-19 | 9000 SW 137th Avenue, SUITE 115, MIAMI, FL 33186 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2014-02-19 | 9000 SW 137th Avenue, SUITE 115, MIAMI, FL 33186 | No data |
REGISTERED AGENT NAME CHANGED | 2008-04-18 | TORRES, J. RAMON | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-06 |
ANNUAL REPORT | 2023-02-02 |
ANNUAL REPORT | 2022-02-01 |
ANNUAL REPORT | 2021-02-08 |
ANNUAL REPORT | 2020-02-07 |
ANNUAL REPORT | 2019-04-10 |
ANNUAL REPORT | 2018-02-16 |
ANNUAL REPORT | 2017-01-17 |
ANNUAL REPORT | 2016-04-08 |
ANNUAL REPORT | 2015-03-09 |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
5977857303 | 2020-04-30 | 0455 | PPP | 9000 SW 137th Avenue Suite 115, Miami, FL, 33186 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Feb 2025
Sources: Florida Department of State