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SUPRA MEDICAL GROUP, INC - Florida Company Profile

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Company Details

Entity Name: SUPRA MEDICAL GROUP, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 29 Oct 2013 (12 years ago)
Date of dissolution: 22 Sep 2023 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (2 years ago)
Document Number: P13000088692
FEI/EIN Number 46-4044217
Address: 3157 N UNIVERSITY DRIVE, DAVIE, FL, 33024, US
Mail Address: 3157 N UNIVERSITY DR, DAVIE, FL, 33024, US
ZIP code: 33024
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PETERSEN KYLE H Director 3157 N UNIVERSITY DR, DAVIE, FL, 33024
Sosa Rafael Agent 3157 N UNIVERSITY DRIVE, DAVIE, FL, 33024

National Provider Identifier

NPI Number:
1285056663
Certification Date:
2021-11-22

Authorized Person:

Name:
RAFAEL SOSA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3054851534

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
REGISTERED AGENT ADDRESS CHANGED 2022-04-29 3157 N UNIVERSITY DRIVE, SUITE 102, DAVIE, FL 33024 -
CHANGE OF PRINCIPAL ADDRESS 2022-04-29 3157 N UNIVERSITY DRIVE, SUITE 102, DAVIE, FL 33024 -
CHANGE OF MAILING ADDRESS 2022-04-29 3157 N UNIVERSITY DRIVE, SUITE 102, DAVIE, FL 33024 -
REGISTERED AGENT NAME CHANGED 2019-10-17 Sosa, Rafael -
REINSTATEMENT 2019-10-17 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
AMENDMENT 2016-12-05 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J18000402974 LAPSED 2017-018501-SP-23 MIAMI-DADE COUNTY 2018-05-01 2023-06-13 $4,450.18 HENRY SCHEIN, INC., 135 DURYEA RD., MELVILLE, NY 11747

Documents

Name Date
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-12
ANNUAL REPORT 2020-06-30
REINSTATEMENT 2019-10-17
ANNUAL REPORT 2018-01-24
ANNUAL REPORT 2017-01-09
Amendment 2016-12-05
ANNUAL REPORT 2016-03-18
ANNUAL REPORT 2015-03-31
ANNUAL REPORT 2014-06-10

USAspending Awards / Financial Assistance

Date:
2020-06-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
6000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-06-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
6000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 01 Aug 2025

Sources: Florida Department of State