Entity Name: | SAGO SUPERIOR MANAGEMENT, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 28 Feb 2008 (17 years ago) |
Date of dissolution: | 22 Sep 2017 (7 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 22 Sep 2017 (7 years ago) |
Document Number: | P08000021546 |
FEI/EIN Number | 262259141 |
Mail Address: | PO BOX 15485, ST PETERSBURG, FL, 33733 |
Address: | 3040 36TH AVE S, ST. PETERSBURG, FL, 33712 |
ZIP code: | 33712 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1811152366 | 2008-07-24 | 2008-07-30 | PO BOX 15485, ST PETERSBURG, FL, 33733, US | 3040 36TH AVE S, ST PETERSBURG, FL, 337123731, US | |||||||||||||||||||||||||
|
Phone | +1 727-320-7879 |
Fax | 7278653242 |
Authorized person
Name | MS. SAFIYA A GORDON |
Role | PRESIDENT |
Phone | 7273207879 |
Taxonomy
Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
License Number | 9176677 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 308592900 |
State | FL |
Name | Role | Address |
---|---|---|
GORDON SAFIYA | Agent | 3040 36TH AVE S, ST. PETERSBURG, FL, 33712 |
Name | Role | Address |
---|---|---|
GORDON SAFIYA | President | 3040 36TH AVE S, ST. PETERSBURG, FL, 33712 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
CHANGE OF MAILING ADDRESS | 2012-04-02 | 3040 36TH AVE S, ST. PETERSBURG, FL 33712 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2016-02-17 |
ANNUAL REPORT | 2015-04-24 |
ANNUAL REPORT | 2014-06-14 |
ANNUAL REPORT | 2013-04-26 |
ANNUAL REPORT | 2012-04-02 |
ANNUAL REPORT | 2011-01-06 |
ANNUAL REPORT | 2010-01-09 |
ANNUAL REPORT | 2009-06-23 |
Domestic Profit | 2008-02-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State