| Entity Name: | ABG PROFESSIONAL HEALTH SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 25 May 2007 (18 years ago) |
| Date of dissolution: | 05 Apr 2014 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 05 Apr 2014 (11 years ago) |
| Document Number: | P07000062984 |
| FEI/EIN Number | 26-0253467 |
| Address: | 8300 WEST FLAGLER STREET, SUITE 200, MIAMI, FL 33144 |
| Mail Address: | 8300 WEST FLAGLER STREET, SUITE 200, MIAMI, FL 33144 |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386831162 | 2007-09-26 | 2013-12-30 | 8300 W FLAGLER ST, SUITE 256, MIAMI, FL, 331446000, US | 8300 W FLAGLER ST, SUITE 256, MIAMI, FL, 331446000, US | |||||||||||||||||||||||||
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| Phone | +1 305-554-5234 |
| Fax | 3055545235 |
Authorized person
| Name | MR. JORGE BENITEZ |
| Role | ADMINISTRATOR |
| Phone | 3055545234 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299992890 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 651741200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BENITEZ, JORGE | Agent | 8300 WEST FLAGLER STREET, SUITE 200, MIAMI, FL 33144 |
| Name | Role | Address |
|---|---|---|
| REYES, CARMEN | President | 8300 WEST FLAGLER ST SUITE 200, MIAMI, FL 33144 |
| Name | Role | Address |
|---|---|---|
| REYES, CARMEN | Director | 8300 WEST FLAGLER ST SUITE 200, MIAMI, FL 33144 |
| BENITEZ, JORGE | Director | 8300 WEST FLAGLER ST SUITE 200, MIAMI, FL 33144 |
| GONZALEZ, GISELLE | Director | 8300 WEST FLAGLER ST SUITE 200, MIAMI, FL 33144 |
| Name | Role | Address |
|---|---|---|
| BENITEZ, JORGE | Vice President | 8300 WEST FLAGLER ST SUITE 200, MIAMI, FL 33144 |
| GONZALEZ, GISELLE | Vice President | 8300 WEST FLAGLER ST SUITE 200, MIAMI, FL 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-04-05 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-07-17 | 8300 WEST FLAGLER STREET, SUITE 200, MIAMI, FL 33144 | No data |
| CHANGE OF MAILING ADDRESS | 2008-07-17 | 8300 WEST FLAGLER STREET, SUITE 200, MIAMI, FL 33144 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-07-17 | 8300 WEST FLAGLER STREET, SUITE 200, MIAMI, FL 33144 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-04-05 |
| ANNUAL REPORT | 2013-02-20 |
| ANNUAL REPORT | 2012-04-17 |
| ANNUAL REPORT | 2011-01-06 |
| ANNUAL REPORT | 2010-02-03 |
| ANNUAL REPORT | 2009-04-17 |
| ANNUAL REPORT | 2008-07-17 |
| Domestic Profit | 2007-05-25 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
