| Entity Name: | ACEVEDO MEDICAL CARE GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Jun 2001 (24 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 20 Dec 2021 (3 years ago) |
| Document Number: | P01000055267 |
| FEI/EIN Number | 651113042 |
| Address: | 2400 NW 54 STREET, MIAMI, FL, 33142, US |
| Mail Address: | 2400 NW 54 STREET, MIAMI, FL, 33142, US |
| ZIP code: | 33142 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588756001 | 2006-09-29 | 2018-01-10 | 2400 NW 54 ST., MIAMI, FL, 33142, US | 2400 NW 54 ST., MIAMI, FL, 33142, US | |||||||||||||||||||||||||
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| Phone | +1 305-633-9090 |
| Fax | 3056339383 |
Authorized person
| Name | DR. ARMANDO E ACEVEDO |
| Role | PRESIDENT |
| Phone | 3056339090 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 1744000000X |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 262422200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SAURA LOURDES | Agent | 2400 NW 54 STREET, MIAMI, FL, 33142 |
| Name | Role | Address |
|---|---|---|
| SAURA LOURDES | President | 2400 NW 54 STREET, MIAMI, FL, 33142 |
| Name | Role | Address |
|---|---|---|
| SAURA LOURDES | Director | 2400 NW 54 STREET, MIAMI, FL, 33142 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-02-10 | SAURA, LOURDES | No data |
| AMENDMENT | 2021-12-20 | No data | No data |
| AMENDMENT | 2019-10-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-06-02 | 2400 NW 54 STREET, MIAMI, FL 33142 | No data |
| CHANGE OF MAILING ADDRESS | 2016-06-02 | 2400 NW 54 STREET, MIAMI, FL 33142 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-06-02 | 2400 NW 54 STREET, MIAMI, FL 33142 | No data |
| AMENDMENT | 2002-07-09 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-30 |
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-02-10 |
| Amendment | 2021-12-20 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-01-24 |
| Amendment | 2019-10-01 |
| AMENDED ANNUAL REPORT | 2019-04-11 |
| ANNUAL REPORT | 2019-03-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
