| Entity Name: | DIVERSE MEDICAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Mar 2008 (17 years ago) |
| Document Number: | P08000026166 |
| FEI/EIN Number | 450591026 |
| Address: | 8040 NW 95 St, Hialeah Gardens, FL, 33016, US |
| Mail Address: | 8040 Nw 95Th St, Hialeah Gardens, FL, 33016, US |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962967836 | 2019-02-05 | 2022-07-27 | 8040 NW 95TH ST STE 225, HIALEAH GARDENS, FL, 330162361, US | 8040 NW 95TH ST STE 225, HIALEAH GARDENS, FL, 330162361, US | |||||||||||||||||
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| Phone | +1 786-797-0300 |
| Fax | 3056752443 |
| Phone | +1 305-951-8777 |
Authorized person
| Name | MS. LEYSI MERCEDES CASANOVA |
| Role | CEO |
| Phone | 7867970300 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CASANOVA LEYSI M | Agent | 8040 NW 95 St, Hialeah Gardens, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| CASANOVA LEYSI M | President | 8040 NW 95 St, Hialeah Gardens, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| CASANOVA LEYSI M | Secretary | 8040 NW 95 St, Hialeah Gardens, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| CASANOVA LEYSI M | Treasurer | 8040 NW 95 St, Hialeah Gardens, FL, 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-22 | 8040 NW 95 St, 225, Hialeah Gardens, FL 33016 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-22 | 8040 NW 95 St, 225, Hialeah Gardens, FL 33016 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-22 | 8040 NW 95 St, 225, Hialeah Gardens, FL 33016 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-02-23 |
| ANNUAL REPORT | 2020-05-03 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-03-28 |
| ANNUAL REPORT | 2016-01-20 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
