| Entity Name: | SOUTH FLORIDA US MANAGEMENT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Dec 2013 (11 years ago) |
| Date of dissolution: | 03 Oct 2024 (4 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Oct 2024 (4 months ago) |
| Document Number: | P13000096951 |
| FEI/EIN Number | 46-4271585 |
| Address: | 8080 W Flagler St, Miami, FL, 33144, US |
| Mail Address: | P.O. BOX 441402, MIAMI, FL, 33144-1402, US |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912371675 | 2015-11-18 | 2016-12-22 | 6850 CORAL WAY, STE 204, MIAMI, FL, 331551758, US | 6850 CORAL WAY, STE 204, MIAMI, FL, 331551758, US | |||||||||||||||||||||||||
|
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| Phone | +1 786-773-2558 |
| Fax | 3059385003 |
Authorized person
| Name | CARLOS PENALVER |
| Role | PRESIDENT |
| Phone | 7864935382 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC10498 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | IO810A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PENALVER CARLOS | Agent | 4394 SW Lagrange St, Port Saint Lucie, FL, 34953 |
| Name | Role | Address |
|---|---|---|
| PENALVER CARLOS | President | 4394 SW Lagrange St, Port Saint Lucie, FL, 34953 |
| Name | Role | Address |
|---|---|---|
| PENALVER CARLOS | Director | 4394 SW Lagrange St, Port Saint Lucie, FL, 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-10-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-24 | PENALVER, CARLOS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-24 | 4394 SW Lagrange St, Port Saint Lucie, FL 34953 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-27 | 8080 W Flagler St, Suite 3C, Miami, FL 33144 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-28 | 8080 W Flagler St, Suite 3C, Miami, FL 33144 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-10-03 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-06-22 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
