Entity Name: | AMERICAN CARE OF SOUTH FLORIDA, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 08 Nov 2006 (18 years ago) |
Document Number: | P06000141530 |
FEI/EIN Number | 205867885 |
Address: | 12171 SW 268th Street, Homestead, FL, 33032, US |
Mail Address: | 12171 SW 268th Street, Homestead, FL, 33032, US |
ZIP code: | 33032 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1841992815 | 2023-03-21 | 2023-03-21 | 12171 SW 268TH ST, HOMESTEAD, FL, 330328001, US | 12171 SW 268TH ST, HOMESTEAD, FL, 330328001, US | |||||||||||||||||||
|
Phone | +1 305-278-0200 |
Fax | 3058514110 |
Phone | +1 786-936-0636 |
Fax | 7867583077 |
Authorized person
Name | AGUEDA BOUZA |
Role | PROVIDER SERVICE MANAGER |
Phone | 3052780200 |
Taxonomy
Taxonomy Code | 208D00000X - General Practice Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ROMANCE MARK A | Agent | 396 ALHAMBRA CIRCLE, MIAMI, FL, 33134 |
Name | Role | Address |
---|---|---|
GARCIA LODOISKA | Vice President | 12171 SW 268 STREET, HOMESTEAD, FL, 33032 |
Name | Role | Address |
---|---|---|
GARCIA LODOISKA | Secretary | 12171 SW 268 STREET, HOMESTEAD, FL, 33032 |
Name | Role | Address |
---|---|---|
GARCIA LODOISKA | Director | 12171 SW 268 STREET, HOMESTEAD, FL, 33032 |
GARCIA JOSE EJR. | Director | 12171 SW 268 STREET, HOMESTEAD, FL, 33032 |
Name | Role | Address |
---|---|---|
GARCIA JOSE EJR. | President | 12171 SW 268 STREET, HOMESTEAD, FL, 33032 |
Name | Role | Address |
---|---|---|
GARCIA JOSE EJR. | Treasurer | 12171 SW 268 STREET, HOMESTEAD, FL, 33032 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2024-02-16 | ROMANCE, MARK A | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-02-16 | 396 ALHAMBRA CIRCLE, NORTH TOWER, 14TH FLOOR, MIAMI, FL 33134 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2014-04-16 | 12171 SW 268th Street, Homestead, FL 33032 | No data |
CHANGE OF MAILING ADDRESS | 2014-04-16 | 12171 SW 268th Street, Homestead, FL 33032 | No data |
Name | Date |
---|---|
AMENDED ANNUAL REPORT | 2024-02-16 |
ANNUAL REPORT | 2024-02-09 |
ANNUAL REPORT | 2023-02-20 |
Reg. Agent Change | 2022-07-21 |
ANNUAL REPORT | 2022-03-07 |
ANNUAL REPORT | 2021-02-09 |
ANNUAL REPORT | 2020-01-15 |
ANNUAL REPORT | 2019-03-12 |
ANNUAL REPORT | 2018-02-05 |
ANNUAL REPORT | 2017-01-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State