| Entity Name: | WOUND CARE AND LIMB SALVAGE GROUP OF MIAMI PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Jan 2019 (6 years ago) |
| Document Number: | P19000001357 |
| FEI/EIN Number | 833036771 |
| Address: | 815 NW 57TH AVE., SUITE 130, MIAMI, FL, 33126, US |
| Mail Address: | 815 NW 57TH AVE., SUITE 130, MIAMI, FL, 33126, US |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285107664 | 2019-01-08 | 2019-01-08 | 815 NW 57TH AVE STE 130, MIAMI, FL, 331262041, US | 815 NW 57TH AVE STE 130, MIAMI, FL, 331262041, US | |||||||||||||||
|
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| Phone | +1 305-266-2286 |
| Fax | 3052667786 |
Authorized person
| Name | MANUEL A GONZALEZ |
| Role | OWNER |
| Phone | 3052662286 |
Taxonomy
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PRIETO-GONZALEZ MAYELIN | Agent | 815 NW 57TH AVE., SUITE 130, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ MANUEL AM.D. | Director | 815 NW 57TH AVE., SUITE 130, MIAMI, FL, 33126 |
| HAVES BRADLEY DPM | Director | 515 MONTCLAIRE DR., NORTH BAY VILLAGE, FL, 33141 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000088935 | HEART AND VASCULAR CENTER OF MIAMI | ACTIVE | 2019-08-21 | 2029-12-31 | No data | 815 NW 57 AVE, SUITE 130, MIAMI, FL, 33126 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-02-05 |
| Off/Dir Resignation | 2019-02-19 |
| Domestic Profit | 2019-01-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
