Entity Name: | JEANNE-ELYSE CEDENO M.D. P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 23 Sep 2009 (15 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 06 Jun 2011 (14 years ago) |
Document Number: | P09000079491 |
FEI/EIN Number | 27-1000660 |
Address: | 10041 PINES BLVD, STE A, PEMBROKE PINES, FL 33024 |
Mail Address: | 10041 PINES BLVD, STE A, PEMBROKE PINES, FL 33024 |
ZIP code: | 33024 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1235423120 | 2011-06-08 | 2023-06-21 | 10041 PINES BLVD STE A, PEMBROKE PINES, FL, 330246170, US | 10041 PINES BLVD STE A, PEMBROKE PINES, FL, 330246170, US | |||||||||||||||||||
|
Phone | +1 754-273-6278 |
Fax | 9543746954 |
Authorized person
Name | DR. JEANNE-ELYSE GRAY CEDENO |
Role | OWNER, PHYSICIAN |
Phone | 7542736278 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | ME 106978 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CEDENO, MIGUEL | Agent | 10041 Pines Blvd, SUITE A, Pembroke Pines, FL 33024 |
Name | Role | Address |
---|---|---|
CEDENO, JEANNE-ELYSE GM.D. | President | 10041 Pines Blvd, SUITE A Pembroke Pines, FL 33024 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G12000050312 | THE FAMILY DOCS | ACTIVE | 2012-06-01 | 2027-12-31 | No data | 10041 PINES BLVD SUITE A, PEMBROKE PINES, FL, 33024 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2022-04-10 | 10041 PINES BLVD, STE A, PEMBROKE PINES, FL 33024 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-04-10 | 10041 Pines Blvd, SUITE A, Pembroke Pines, FL 33024 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2021-07-27 | 10041 PINES BLVD, STE A, PEMBROKE PINES, FL 33024 | No data |
REINSTATEMENT | 2011-06-06 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-16 |
ANNUAL REPORT | 2023-04-04 |
ANNUAL REPORT | 2022-04-10 |
ANNUAL REPORT | 2021-04-16 |
ANNUAL REPORT | 2020-06-03 |
ANNUAL REPORT | 2019-03-15 |
ANNUAL REPORT | 2018-02-23 |
ANNUAL REPORT | 2017-04-20 |
ANNUAL REPORT | 2016-04-15 |
ANNUAL REPORT | 2015-03-20 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State