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UNIVERSAL PHYSICAL MEDICINE ASSOCIATES, INC.

Company Details

Entity Name: UNIVERSAL PHYSICAL MEDICINE ASSOCIATES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Feb 2005 (20 years ago)
Document Number: P05000027011
FEI/EIN Number 550891794
Address: 12596 NW 67TH DRIVE, PARKLAND, FL, 33076
Mail Address: 12596 NW 67TH DRIVE, PARKLAND, FL, 33076
ZIP code: 33076
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669730164 2012-05-03 2017-05-09 12596 NW 67TH DR, PARKLAND, FL, 330761961, US 160 NW 170TH ST, 1ST FLOOR REHAB, NORTH MIAMI BEACH, FL, 331695521, US

Contacts

Phone +1 954-340-7041
Phone +1 954-647-4904

Authorized person

Name ARIEL INOCENTES
Role OWNER
Phone 9543407041

Taxonomy

Taxonomy Code 208100000X - Physical Medicine & Rehabilitation Physician
Is Primary Yes

Agent

Name Role Address
INOCENTES ARIEL Agent 12596 NW 67TH DRIVE, PARKLAND, FL, 33076

President

Name Role Address
INOCENTES ARIEL President 12596 NW 67TH DRIVE, PARKLAND, FL, 33076

Director

Name Role Address
DeGuzman-Inocentes Mary Jean Director 12596 NW 67TH DRIVE, PARKLAND, FL, 33076

Documents

Name Date
ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-02-06
ANNUAL REPORT 2021-01-24
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-10
ANNUAL REPORT 2018-02-06
ANNUAL REPORT 2017-01-29
ANNUAL REPORT 2016-03-20
ANNUAL REPORT 2015-01-26

Date of last update: 01 Feb 2025

Sources: Florida Department of State