| Entity Name: | SOUTH FLORIDA PREVENTIVE CARE GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Sep 2013 (11 years ago) |
| Document Number: | P13000074280 |
| FEI/EIN Number | 46-3614992 |
| Address: | 6750 Taft Street, Hollywood, FL, 33024, US |
| Mail Address: | 6750 Taft Street, Hollywood, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366878829 | 2013-09-16 | 2013-09-16 | 19015 NW 80TH CT, HIALEAH, FL, 330155210, US | 19015 NW 80TH CT, HIALEAH, FL, 330155210, US | |||||||||||||||||
|
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| Phone | +1 305-934-7076 |
Authorized person
| Name | DR. DEISY DIAZ-PRIETO |
| Role | DNP |
| Phone | 3059347076 |
Taxonomy
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| License Number | ARNP9179779 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIAZ-PRIETO DEISY DR. | Agent | 6750 Taft Street, Hollywood, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| DIAZ-PRIETO DEISY | President | 6750 Taft Street, Hollywood, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| Prieto Davel | Chief Financial Officer | 6750 Taft Street, Hollywood, FL, 33024 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000053809 | DBA INSTITUTE FOR CONTINUING EDUCATION AND AESTHETIC TRAINING | EXPIRED | 2015-06-03 | 2020-12-31 | No data | 1811 NW 123 AVE, PEMBROKE PINES, FL, 33026 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-03-02 | 6750 Taft Street, Hollywood, FL 33024 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-02 | 6750 Taft Street, Hollywood, FL 33024 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-15 | 6750 Taft Street, Hollywood, FL 33024 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-12 |
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-04-15 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-02-01 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-03-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
