Entity Name: | OPTIMUM CARE MEDICAL GROUP, LLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
OPTIMUM CARE MEDICAL GROUP, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
Date Filed: | 27 Aug 2019 (6 years ago) |
Document Number: | L19000218789 |
FEI/EIN Number |
84-2975800
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 3908 SW 137th Ave, Davie, FL, 33330, US |
Mail Address: | 4581 Weston Rd #381, Weston, FL, 33331, US |
ZIP code: | 33330 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1962053728 | 2019-09-24 | 2022-11-22 | 10312 BLOOMINGDALE AVE, STE 108 PMB 339, RIVERVIEW, FL, 335783603, US | 3908 SW 137TH AVE, DAVIE, FL, 333305712, US | |||||||||||||||||||||
|
Phone | +1 786-470-0024 |
Fax | 7866521372 |
Fax | 9548062484 |
Authorized person
Name | RONOEL PENALVER |
Role | PHYSICIAN/OWNER |
Phone | 7864700024 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | No |
Taxonomy Code | 282N00000X - General Acute Care Hospital |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
PENALVER RONOEL Dr. | President | 4581 Weston Rd, Weston, FL, 33331 |
PENALVER RONOEL | Agent | 4581 Weston Rd, Weston, FL, 33330 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-02-03 | 3908 SW 137th Ave, Davie, FL 33330 | - |
REGISTERED AGENT ADDRESS CHANGED | 2022-02-03 | 4581 Weston Rd, #381, Weston, FL 33330 | - |
CHANGE OF MAILING ADDRESS | 2021-04-14 | 3908 SW 137th Ave, Davie, FL 33330 | - |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-09 |
ANNUAL REPORT | 2023-02-01 |
ANNUAL REPORT | 2022-02-03 |
ANNUAL REPORT | 2021-02-09 |
ANNUAL REPORT | 2020-01-15 |
Florida Limited Liability | 2019-08-27 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State