Entity Name: | HIGI CARE NETWORK (DE), P.A. INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Foreign Profit Corporation |
Status: | Active |
Date Filed: | 20 Apr 2022 (3 years ago) |
Last Event: | AMENDMENT |
Event Date Filed: | 23 Feb 2023 (2 years ago) |
Document Number: | F22000002464 |
FEI/EIN Number | 86-1414612 |
Address: | 4500 NORTH STATE ROAD 5, SUITE 102, LAUDERLAKES, FL 33319 |
Mail Address: | 4500 NORTH STATE ROAD 5, SUITE 102, LAUDERLAKES, FL 33319 |
ZIP code: | 33319 |
County: | Broward |
Place of Formation: | DELAWARE |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1063001238 | 2021-01-13 | 2021-12-21 | 382 NE 191ST ST STE 50294, MIAMI, FL, 331793899, US | 4500 N STATE ROAD 7 STE 102, LAUDERDALE LAKES, FL, 333195868, US | |||||||||||||||
|
Phone | +1 303-898-6737 |
Phone | +1 561-381-9258 |
Authorized person
Name | ERIC JAMES CHIYEMBEKEZA |
Role | VP, CLINICAL OPERATIONS & STRATEGY |
Phone | 5615685440 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Name | Role |
---|---|
CORPORATION SERVICE COMPANY | Agent |
Name | Role | Address |
---|---|---|
HAFRAN, DR MICHAEL | President | 4500 NORTH STATE ROAD 5, SUITE 102, LAUDERLAKES, FL 33319 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-07-02 | 4500 NORTH STATE ROAD 5, SUITE 102, LAUDERLAKES, FL 33319 | No data |
CHANGE OF MAILING ADDRESS | 2024-07-02 | 4500 NORTH STATE ROAD 5, SUITE 102, LAUDERLAKES, FL 33319 | No data |
REGISTERED AGENT NAME CHANGED | 2024-01-11 | CORPORATION SERVICE COMPANY | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-01-11 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
AMENDMENT | 2023-02-23 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-07-02 |
Reg. Agent Change | 2024-01-11 |
ANNUAL REPORT | 2023-05-01 |
Amendment | 2023-02-23 |
Reg. Agent Change | 2023-01-17 |
Foreign Profit | 2022-04-20 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State