| Entity Name: | J. OSCAR ORTIZ, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Apr 2008 (17 years ago) |
| Document Number: | P08000036255 |
| FEI/EIN Number | 262916173 |
| Address: | 2881 E. OAKLAND PARK BLVD., FORT LAUDERDALE, FL, 33306-1813, US |
| Mail Address: | 2881 E. OAKLAND PARK BLVD., FORT LAUDERDALE, FL, 33306-1813, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184157521 | 2017-04-04 | 2017-04-04 | 610 W LAS OLAS BLVD, APT 1015, FORT LAUDERDALE, FL, 333127119, US | 2881 E OAKLAND PARK BLVD, SUITE 304, FORT LAUDERDALE, FL, 333061813, US | |||||||||||||||||||||||
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| Phone | +1 305-332-3209 |
Authorized person
| Name | JOSE OSCAR ORTIZ |
| Role | DPS |
| Phone | 3053323209 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH5212 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DEPT OF HEALTH MQA |
| Number | MH5212 |
| State | FL |
| Name | Role |
|---|---|
| STEPHEN L. VINSON, JR., P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| ORTIZ JOSE O | Director | 610 W LAS OLAS BLVD 1015, FT. LAUDERDALE, FL, 33312 |
| Name | Role | Address |
|---|---|---|
| ORTIZ JOSE O | President | 610 W LAS OLAS BLVD 1015, FT. LAUDERDALE, FL, 33312 |
| Name | Role | Address |
|---|---|---|
| ORTIZ JOSE O | Secretary | 610 W LAS OLAS BLVD 1015, FT. LAUDERDALE, FL, 33312 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-19 | 2881 E. OAKLAND PARK BLVD., SUITE 473, FORT LAUDERDALE, FL 33306-1813 | No data |
| CHANGE OF MAILING ADDRESS | 2021-10-19 | 2881 E. OAKLAND PARK BLVD., SUITE 473, FORT LAUDERDALE, FL 33306-1813 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-09 | 1200 BRICKELL AVE, MIAMI, FL 33131 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-29 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-06-11 |
| ANNUAL REPORT | 2019-04-20 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-04-14 |
| ANNUAL REPORT | 2016-05-16 |
| ANNUAL REPORT | 2015-04-16 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
