| Entity Name: | PERIDOT MEDICAL GROUP CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 May 2012 (13 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 31 Mar 2021 (4 years ago) |
| Document Number: | P12000046093 |
| FEI/EIN Number | 45-5308405 |
| Address: | 7374 SW 93rd AVENUE, STE 202-B, MIAMI, FL, 33173, US |
| Mail Address: | 7374 SW 93rd AVENUE, STE 202-B, MIAMI, FL, 33173, US |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457920308 | 2021-06-23 | 2024-11-06 | 7374 SW 93RD AVE STE 202B, MIAMI, FL, 331733246, US | 7374 SW 93RD AVE STE 202B, MIAMI, FL, 331733246, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 305-551-0900 |
Authorized person
| Name | DR. RAMON LEON |
| Role | MEDICAL DIRECTOR |
| Phone | 3055510900 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LORES LAW PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| MACHADO INGRID | President | 7374 SW 93rd AVENUE, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| MACHADO RICHARD R | Chief Operating Officer | 7374 SW 93rd AVENUE, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-06 | 7374 SW 93rd AVENUE, STE 202-B, MIAMI, FL 33173 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-06 | 7374 SW 93rd AVENUE, STE 202-B, MIAMI, FL 33173 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-11 | 7374 93rd AVENUE, STE 202-B, MIAMI, FL 33173 | No data |
| CHANGE OF MAILING ADDRESS | 2024-11-11 | 7374 93rd AVENUE, STE 202-B, MIAMI, FL 33173 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-11-11 | 10621 NORTH KENDALL DRIVE, STE 209, MIAMI, FL 33176 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-03-09 | LORES LAW PLLC | No data |
| AMENDMENT AND NAME CHANGE | 2021-03-31 | PERIDOT MEDICAL GROUP CORP | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| AMENDED ANNUAL REPORT | 2024-11-11 |
| AMENDED ANNUAL REPORT | 2024-07-01 |
| ANNUAL REPORT | 2024-05-28 |
| AMENDED ANNUAL REPORT | 2023-09-14 |
| ANNUAL REPORT | 2023-03-09 |
| AMENDED ANNUAL REPORT | 2022-06-20 |
| AMENDED ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2022-03-02 |
| Amendment and Name Change | 2021-03-31 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
