| Entity Name: | FAMILY & PATIENT HEALTH GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 May 2017 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 10 Aug 2020 (5 years ago) |
| Document Number: | L17000111738 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 2231 N. UNIVERSITY DR, PEMBROKE PINES, FL, 33024, US |
| Mail Address: | 2231 N UNVERSITY DR, PEMBROKE PINES, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972032498 | 2017-06-08 | 2022-07-21 | 10796 PINES BLVD, PEMBROKE PINES, FL, 330263919, US | 10796 PINES BLVD SUITE 201, PEMBROKE PINES, FL, 330263919, US | |||||||||||||||
|
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| Phone | +1 954-374-9692 |
| Fax | 9545891726 |
Authorized person
| Name | JOSE J CASTANEDA |
| Role | AMBR |
| Phone | 9543749692 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FAMILY & PATIENT HEALTH GROUP, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| CASTANEDA JOSE JMS,PA | Authorized Member | 2231 N. UNIVERSITY DR, PEMBROKE PINES, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| QIAN TIE MD | Manager | 2231 N. UNIVERSITY DR, PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-09-11 | 2231 N. UNIVERSITY DR, SUITE B, PEMBROKE PINES, FL 33024 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-09-11 | 2231 N. UNIVERSITY DR, STE B, PEMBROKE PINES, FL 33024 | No data |
| CHANGE OF MAILING ADDRESS | 2022-08-09 | 2231 N. UNIVERSITY DR, STE B, PEMBROKE PINES, FL 33024 | No data |
| LC AMENDMENT | 2020-08-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-13 | FAMILY & PATIENT HEALTH GROUP | No data |
| LC AMENDMENT | 2019-10-28 | No data | No data |
| LC AMENDMENT | 2018-11-20 | No data | No data |
| LC STMNT OF RA/RO CHG | 2018-10-15 | No data | No data |
| LC STMNT OF RA/RO CHG | 2018-06-04 | No data | No data |
| LC STMNT OF RA/RO CHG | 2017-07-18 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-02-01 |
| AMENDED ANNUAL REPORT | 2022-09-11 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-02-01 |
| LC Amendment | 2020-08-10 |
| ANNUAL REPORT | 2020-01-13 |
| LC Amendment | 2019-10-28 |
| ANNUAL REPORT | 2019-03-30 |
| LC Amendment | 2018-11-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
