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ACCOUNTABLE CARE MEDICAL GROUP OF FLORIDA, INC.

Company Details

Entity Name: ACCOUNTABLE CARE MEDICAL GROUP OF FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 22 Jun 2011 (14 years ago)
Last Event: AMENDMENT
Event Date Filed: 18 Sep 2014 (10 years ago)
Document Number: P11000057870
FEI/EIN Number 45-2594636
Address: 806 South Douglas Road, STE 700, Coral Gables, FL 33134
Mail Address: 806 South Douglas Road, STE 700, Coral Gables, FL 33134
ZIP code: 33134
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063750537 2013-01-17 2022-05-04 806 S DOUGLAS RD STE 700, CORAL GABLES, FL, 331342082, US 806 S DOUGLAS RD STE 700, CORAL GABLES, FL, 331342082, US

Contacts

Phone +1 786-878-5500
Fax 7865529696

Authorized person

Name STEPHANY NINO
Role DIRECTOR
Phone 7868785505

Taxonomy

Taxonomy Code 305R00000X - Preferred Provider Organization
Is Primary Yes

Agent

Name Role Address
AUERBACH, MARC Agent 806 South Douglas Road, STE 700, Coral Gables, FL 33134

Chief Executive Officer

Name Role Address
Rodriguez, Roger Chief Executive Officer 806 South Douglas Road, STE 700 Coral Gables, FL 33134

President

Name Role Address
Rodriguez, Roger President 806 South Douglas Road, STE 700 Coral Gables, FL 33134

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000048084 ACMG ACTIVE 2016-05-12 2026-12-31 No data 6355 NW 36 STREET, SUITE 604, VIRGINIA GARDENS, FL, 33166

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-01-31 806 South Douglas Road, STE 700, Coral Gables, FL 33134 No data
CHANGE OF PRINCIPAL ADDRESS 2022-01-31 806 South Douglas Road, STE 700, Coral Gables, FL 33134 No data
CHANGE OF MAILING ADDRESS 2022-01-31 806 South Douglas Road, STE 700, Coral Gables, FL 33134 No data
REGISTERED AGENT NAME CHANGED 2022-01-31 AUERBACH, MARC No data
AMENDMENT 2014-09-18 No data No data
AMENDMENT 2013-07-12 No data No data
AMENDMENT 2012-12-03 No data No data
AMENDMENT 2012-07-19 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-03-06
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-03-06
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-22
ANNUAL REPORT 2018-02-10
ANNUAL REPORT 2017-01-30
ANNUAL REPORT 2016-03-04
ANNUAL REPORT 2015-04-16

Date of last update: 24 Jan 2025

Sources: Florida Department of State