| Entity Name: | DAVILA MEDICAL GROUP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 11 Jun 2021 (4 years ago) |
| Document Number: | P21000055090 |
| FEI/EIN Number | 87-1162825 |
| Address: | 375 WEST 22ND ST, MIAMI, FL 33184 |
| Mail Address: | 2021 SW 134TH AVE, MIAMI, FL 33175 |
| ZIP code: | 33184 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649988890 | 2022-11-07 | 2022-11-07 | 13270 SW 8TH ST, MIAMI, FL, 331841178, US | 13270 SW 8TH ST, MIAMI, FL, 331841178, US | |||||||||||||||
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| Phone | +1 786-631-4972 |
| Fax | 7866335130 |
Authorized person
| Name | MIRELYS VALDES ESPINOSA |
| Role | PRESIDENT |
| Phone | 3054394877 |
Taxonomy
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VALDES ESPINOSA, MIRELYS | Agent | 2021 SW 134 AVE, MIAMI, FL 33175 |
| Name | Role | Address |
|---|---|---|
| DAVILA NUNEZ, TATIANA | President | 2021 SW 134 AVE, MIAMI, FL 33175 |
| Name | Role | Address |
|---|---|---|
| DAVILA NUNEZ, TATIANA | Secretary | 2021 SW 134 AVE, MIAMI, FL 33175 |
| Name | Role | Address |
|---|---|---|
| VALDES ESPINOSA, MIRELYS | Vice President | 12610 SW 72 TERR, Miami, FL 33183 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000143503 | DAVILA MEDICAL CENTER | ACTIVE | 2022-11-18 | 2027-12-31 | No data | 13270 SW 8TH ST, MIAMI, FL, 33184 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-30 | 375 WEST 22ND ST, MIAMI, FL 33184 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-30 | 375 WEST 22ND ST, MIAMI, FL 33184 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-07-30 | 2021 SW 134 AVE, MIAMI, FL 33175 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-30 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-04-21 |
| Domestic Profit | 2021-06-11 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
