| Entity Name: | SANCHEZ-CAZAU MEDICAL GROUP, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Aug 2006 (19 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 07 Oct 2009 (15 years ago) |
| Document Number: | P06000108045 |
| FEI/EIN Number | 205403730 |
| Address: | 777 E 25TH ST, HIALEAH, FL, 33013, US |
| Mail Address: | 777 east 25 street, hialeah, FL, 33013, US |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518037399 | 2006-11-08 | 2024-10-29 | 777 E 25TH ST STE 109, HIALEAH, FL, 330133804, US | 777 E 25TH ST STE 109, HIALEAH, FL, 330133804, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 305-889-6670 |
| Fax | 3058896671 |
Authorized person
| Name | DR. DOLORES SANCHEZ CAZAU |
| Role | PRESIDENT |
| Phone | 3058896670 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| License Number | ME95970 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 277766500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CAZAU DOLORES S | Agent | 777 E 25TH ST, HIALEAH, FL, 33013 |
| Name | Role | Address |
|---|---|---|
| CAZAU DOLORES S | President | 777 E 25TH ST, HIALEAH, FL, 33013 |
| Name | Role | Address |
|---|---|---|
| CAZAU ANDRES | Vice President | 777 E 25TH ST, HIALEAH, FL, 33013 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000104953 | UNIVIDA MEDICAL CENTER | ACTIVE | 2022-08-31 | 2027-12-31 | No data | 777 EAST 25 STREET SUITE 516, HIALEAH ,FL, FL, 33013 |
| G21000012488 | SANCHEZ CAZAU CENTER FOR COVID | ACTIVE | 2021-01-26 | 2026-12-31 | No data | 777 EAST 25 STREET SUITE 516, HIALEAH, FL, 33013 |
| G20000034487 | TELEMEDICINE 305 | ACTIVE | 2020-03-21 | 2025-12-31 | No data | 777 EAST 25 STREET SUITE 516, HIALEAH, FL, 33013 |
| G10000072172 | CARIBHEALTH SKIN & WOUND CARE NETWORK | EXPIRED | 2010-08-05 | 2015-12-31 | No data | 7171 CORAL WAY ,SUITE 200, MIAMI, FL, 33155 |
| G08087700062 | CARIBHEALTH WOUND CARE NETWORK | EXPIRED | 2008-03-27 | 2013-12-31 | No data | 1822 EAST 4 AVE SUITE B, HIALEAH, FL, 33010 |
| G08086700001 | CARIBHEALTH WOUND CARE NETWORK | EXPIRED | 2008-03-26 | 2013-12-31 | No data | 1822 EAST 4 AVE SUITE B, HIALEAH, FL, 33010 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-19 | 777 E 25TH ST, Suite 109, HIALEAH, FL 33013 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-19 | 777 E 25TH ST, Suite 109, HIALEAH, FL 33013 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-19 | 777 E 25TH ST, Suite 109, HIALEAH, FL 33013 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-08 | 777 E 25TH ST, Suite 516, HIALEAH, FL 33013 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-08 | 777 E 25TH ST, Suite 516, HIALEAH, FL 33013 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-08 | 777 E 25TH ST, Suite 516, HIALEAH, FL 33013 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-01-03 | CAZAU, DOLORES S | No data |
| AMENDMENT AND NAME CHANGE | 2009-10-07 | SANCHEZ-CAZAU MEDICAL GROUP, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-19 |
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-02-24 |
| ANNUAL REPORT | 2019-01-29 |
| ANNUAL REPORT | 2018-01-08 |
| ANNUAL REPORT | 2017-03-18 |
| ANNUAL REPORT | 2016-02-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
