| Entity Name: | MIAMI MED GROUP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Jun 2021 (4 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 22 Oct 2021 (3 years ago) |
| Document Number: | P21000057832 |
| FEI/EIN Number | 87-1287310 |
| Address: | 12700 SW 122ND AVENUE., SUITE 105, MIAMI, FL 33186 |
| Mail Address: | 12700 SW 122ND AVENUE., SUITE 105, MIAMI, FL 33186 |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942974555 | 2021-08-06 | 2023-11-02 | 12700 SW 122ND AVE, SUITE 105, MIAMI, FL, 331865271, US | 12700 SW 122ND AVE, SUITE 105, MIAMI, FL, 331865271, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 786-206-8521 |
| Fax | 7867412636 |
Authorized person
| Name | DILIO BRAVO |
| Role | PRESIDENT/OWNER |
| Phone | 7862068521 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR1100X - Research Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GALLARDO, DAYURI | Agent | 4761 SW 143RD COURT, MIAMI, FL 33175 |
| Name | Role | Address |
|---|---|---|
| BRAVO, DILIO | President | 4761 SW 143RD COURT, MIAMI, FL 33175 |
| Name | Role | Address |
|---|---|---|
| GALLARDO, DAYURI | Secretary | 4761 SW 143RD COURT, MIAMI, FL 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2021-10-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-22 | 12700 SW 122ND AVENUE., SUITE 105, MIAMI, FL 33186 | No data |
| CHANGE OF MAILING ADDRESS | 2021-10-22 | 12700 SW 122ND AVENUE., SUITE 105, MIAMI, FL 33186 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-11 |
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-01-17 |
| Amendment | 2021-10-22 |
| Domestic Profit | 2021-06-21 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
