| Entity Name: | ALS MEDICAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 28 Jan 2010 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 25 Oct 2019 (5 years ago) |
| Document Number: | P10000008467 |
| FEI/EIN Number | 27-1816445 |
| Address: | 8180 NW 36 ST, STE 300, DORAL, FL 33166 |
| Mail Address: | 8180 NW 36 ST, STE 300, DORAL, FL 33166 |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447562996 | 2010-07-12 | 2010-07-12 | 8180 NW 36TH ST, SUITE 301, DORAL, FL, 331666645, US | 8180 NW 36TH ST, SUITE 301, DORAL, FL, 331666645, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 305-592-1409 |
| Fax | 3055921412 |
Authorized person
| Name | LAZARO R SAAVEDRA |
| Role | PRESIDENT |
| Phone | 3055921409 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | HCC 8784 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | NCC 8784 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NICOLAS, RUBEN H | Agent | 8180 NW 36 ST, STE 300, DORAL, FL 33166 |
| Name | Role | Address |
|---|---|---|
| NICOLAS, RUBEN H | President | 8180 NW 36 ST, STE 300 DORAL, FL 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-03 | 8180 NW 36 ST, STE 300, DORAL, FL 33166 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-07-03 | 8180 NW 36 ST, STE 300, DORAL, FL 33166 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-03 | 8180 NW 36 ST, STE 300, DORAL, FL 33166 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-02-20 | NICOLAS, RUBEN H | No data |
| REINSTATEMENT | 2019-10-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| AMENDMENT | 2016-10-25 | No data | No data |
| REINSTATEMENT | 2015-10-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| AMENDMENT | 2010-04-08 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-07-03 |
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-02-20 |
| ANNUAL REPORT | 2022-01-18 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-04-30 |
| REINSTATEMENT | 2019-10-25 |
| ANNUAL REPORT | 2018-05-21 |
| ANNUAL REPORT | 2017-08-14 |
| Amendment | 2016-10-25 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
