| Entity Name: | ADVANCE MDCARE COMMUNITY CLINIC, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Feb 2021 (4 years ago) |
| Document Number: | N21000001581 |
| FEI/EIN Number | 88-1667827 |
| Address: | 290 WESTWARD DRIVE, MIAMI SPRINGS, FL 33166 |
| Mail Address: | 290 WESTWARD DRIVE, MIAMI SPRINGS, FL 33166 |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902655814 | 2024-05-14 | 2024-05-14 | 290 WESTWARD DR, MIAMI SPRINGS, FL, 331665260, US | 290 WESTWARD DR, MIAMI SPRINGS, FL, 331665260, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-363-2762 |
| Fax | 3058858985 |
Authorized person
| Name | YANET RODRIGUEZ FERRERA |
| Role | PRESIDENT |
| Phone | 3053632762 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| KENNEDY, DELIA | Agent | 290 WESTWARD DRIVE, MIAMI SPRINGS, FL 33166 |
| Name | Role | Address |
|---|---|---|
| Rodriguez Ferrera, Yanet | PRESIDENT | 290 WESTWARD DRIVE, MIAMI SPRINGS, FL 33166 |
| Name | Role | Address |
|---|---|---|
| Rodriguez Ferrera, Yanet | Chief Executive Officer | 290 WESTWARD DRIVE, MIAMI SPRINGS, FL 33166 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000134885 | 4 US FOUNDATION | ACTIVE | 2023-11-02 | 2028-12-31 | No data | 290 WESTWARD DRIVE, MIAMI SPRINGS, FL, 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-07-12 | 290 WESTWARD DRIVE, MIAMI SPRINGS, FL 33166 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-29 | KENNEDY, DELIA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-07-12 |
| ANNUAL REPORT | 2022-04-29 |
| Domestic Non-Profit | 2021-02-03 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
