| Entity Name: | FAITH MEDICAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Jan 2005 (20 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 04 Oct 2020 (4 years ago) |
| Document Number: | P05000010815 |
| FEI/EIN Number | 251908477 |
| Address: | 1840 WEST 49 STREET, HIALEAH, FL, 33012, US |
| Mail Address: | 1840 WEST 49 STREET, HIALEAH, FL, 33012, US |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902177280 | 2012-01-19 | 2012-01-19 | 1840 W 49 STREET, SUITE 103, HIALEAH, FL, 33012, US | 1840 W 49 STREET, SUITE 103, HIALEAH, FL, 33012, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 305-634-9742 |
| Fax | 6056349744 |
Authorized person
| Name | MR. RAFAEL DEULOFEU |
| Role | PRESIDENT |
| Phone | 3056349742 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME82456 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT14991 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225700000X - Massage Therapist |
| License Number | MA44576 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DEULOFEU RAFAEL | Agent | 9950 NW 137 STREET, HIALEAH GARDENS, FL, 33018 |
| Name | Role | Address |
|---|---|---|
| DEULOFEU RAFAEL | President | 9950 NW 137 STREET, HIALEAH GARDENS, FL, 33018 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2020-10-04 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-10-04 | DEULOFEU, RAFAEL | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-04 | 1840 WEST 49 STREET, 514-A, HIALEAH, FL 33012 | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-04 | 1840 WEST 49 STREET, 514-A, HIALEAH, FL 33012 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-02-05 | 9950 NW 137 STREET, HIALEAH GARDENS, FL 33018 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-02-10 |
| REINSTATEMENT | 2020-10-04 |
| ANNUAL REPORT | 2019-03-19 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-03-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
