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ARK PROVISION ENTERPRISES, INC.

Company Details

Entity Name: ARK PROVISION ENTERPRISES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Mar 2012 (13 years ago)
Document Number: P12000028347
FEI/EIN Number 454936160
Address: 17333 NW 62 PLACE, MIAMI, FL, 33015, US
Mail Address: 17333 NW 62 PLACE, MIAMI, FL, 33015, US
ZIP code: 33015
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013683440 2021-08-17 2021-08-17 17333 NW 62ND PL, HIALEAH, FL, 330154502, US 5911 NW 173RD DR UNIT 11, HIALEAH, FL, 330155122, US

Contacts

Phone +1 305-826-3256
Phone +1 786-655-9992
Fax 7867348142

Authorized person

Name VICENTE CHANG
Role VP
Phone 7866559992

Taxonomy

Taxonomy Code 261QD1600X - Developmental Disabilities Clinic/Center
Is Primary Yes

Agent

Name Role Address
CHANG VICENTE Agent 17333 NW 62 PLACE, MIAMI, FL, 33015

Vice President

Name Role Address
CHANG VICENTE Vice President 17333 NW 62 PLACE, MIAMI, FL, 33015

President

Name Role Address
RAMIREZ LUISA President 17333 NW 62 PLACE, MIAMI, FL, 33015

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2013-04-26 17333 NW 62 PLACE, MIAMI, FL 33015 No data

Documents

Name Date
ANNUAL REPORT 2024-03-11
ANNUAL REPORT 2023-02-13
ANNUAL REPORT 2022-03-17
ANNUAL REPORT 2021-03-16
ANNUAL REPORT 2020-04-01
ANNUAL REPORT 2019-03-02
ANNUAL REPORT 2018-02-04
ANNUAL REPORT 2017-04-02
ANNUAL REPORT 2016-01-09
AMENDED ANNUAL REPORT 2015-12-15

Date of last update: 02 Feb 2025

Sources: Florida Department of State