| Entity Name: | SOUTH FLORIDA CENTER FOR GYNECOLOGIC ONCOLOGY P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Jun 2003 (22 years ago) |
| Document Number: | P03000068327 |
| FEI/EIN Number | 582676252 |
| Address: | 6200 N FEDERAL HIGHWAY, BOCA RATON, FL, 33487, US |
| Mail Address: | 891 NAFA DRIVE, BOCA RATON, FL, 33486, US |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174682082 | 2006-12-06 | 2010-12-01 | 6200 N FEDERAL HWY, BOCA RATON, FL, 334873230, US | 6200 N FEDERAL HWY, BOCA RATON, FL, 334873230, US | |||||||||||||||||||||||||
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| Phone | +1 561-997-8991 |
| Fax | 5619978927 |
Authorized person
| Name | DR. FERNANDO O RECIO |
| Role | OWNER |
| Phone | 5619978991 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME79470 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 260563500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RECIO FERNANDO O | Agent | 891 NAFA DRIVE, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| RECIO FERNANDO O | Director | 891 NAFA DRIVE, BOCA RATON, FL, 33487 |
| Name | Role | Address |
|---|---|---|
| Recio Carole A | Manager | 891 NAFA DRIVE, BOCA RATON, FL, 33486 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2010-01-05 | 6200 N FEDERAL HIGHWAY, BOCA RATON, FL 33487 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-22 | 6200 N FEDERAL HIGHWAY, BOCA RATON, FL 33487 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-13 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-23 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-19 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-01-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
