| Entity Name: | DIRECT PRIMARY CARE OF MIAMI PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Jul 2021 (4 years ago) |
| Document Number: | P21000067966 |
| FEI/EIN Number | 87-1964083 |
| Mail Address: | 6690 SW 97TH AVENUE, MIAMI, FL, 33173, US |
| Address: | 9990 SW 77th Avnue, Suite 306, MIAMI, FL, 33156, US |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376396192 | 2024-04-10 | 2024-04-10 | 9615 NW 41ST ST, DORAL, FL, 331782973, US | 9615 NW 41ST ST, DORAL, FL, 331782973, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 305-635-1445 |
| Fax | 3056344522 |
Authorized person
| Name | JULIO ALEJANDRO NIETO |
| Role | PRESIDENT/ CEO |
| Phone | 7862462751 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Nieto Julio ADr. | Agent | 6690 SW 97th Avenue, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| NIETO JULIO ADr. | President | 6690 SW 97TH AVENUE, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-27 | 9990 SW 77th Avnue, Suite 306, MIAMI, FL 33156 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-14 | Nieto, Julio A. , Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-14 | 6690 SW 97th Avenue, MIAMI, FL 33173 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-14 |
| ANNUAL REPORT | 2022-04-06 |
| Domestic Profit | 2021-07-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
