| Entity Name: | SIMONE VAN-HORNE, MD INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Jun 2016 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Jul 2020 (5 years ago) |
| Document Number: | P16000053847 |
| FEI/EIN Number | 81-3002595 |
| Mail Address: | 10245 VESTAL COURT, CORAL SPRINGS, FL 33071 |
| Address: | 8201 N University Dr, SUITE 201, TAMARAC, FL 33321 |
| ZIP code: | 33321 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568056356 | 2021-02-23 | 2023-06-02 | 10245 VESTAL CT, CORAL SPRINGS, FL, 330715834, US | 2701 N COURSE DR APT 125, POMPANO BEACH, FL, 330693030, US | |||||||||||||||||||||
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| Phone | +1 954-470-2851 |
| Fax | 8556675891 |
Authorized person
| Name | SIMONE VAN-HORNE |
| Role | DOCTOR |
| Phone | 9544702851 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME117698 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VAN-HORNE, SIMONE, DR. | Agent | 10245 VESTAL COURT, CORAL SPRINGS, FL 33071 |
| Name | Role | Address |
|---|---|---|
| VAN-HORNE, SIMONE, DR. | Chief Executive Officer | 10245 VESTAL COURT, CORAL SPRINGS, FL 33071 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000114375 | VIP REMOTE HEALTH | ACTIVE | 2023-09-15 | 2028-12-31 | No data | 2701 NORTH COURSE DRIVE, POMPANO BEACH, FL, 33069 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-13 | 8201 N University Dr, SUITE 201, TAMARAC, FL 33321 | No data |
| REINSTATEMENT | 2020-07-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2018-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-09-24 | VAN-HORNE, SIMONE, DR. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-05-13 |
| ANNUAL REPORT | 2024-03-02 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-12 |
| REINSTATEMENT | 2020-07-01 |
| REINSTATEMENT | 2018-09-24 |
| Domestic Profit | 2016-06-21 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6905628905 | 2021-05-05 | 0455 | PPP | 10245 Vestal Courtnull 10245 Vestal Courtnull, Coral Springs, FL, 33071 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 19 Feb 2025
Sources: Florida Department of State
