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SOUTH FLORIDA ELITE MD GROUP, INC.

Company Details

Entity Name: SOUTH FLORIDA ELITE MD GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 12 Jan 2017 (8 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: P17000004003
FEI/EIN Number APPLIED FOR
Address: 1861 NW 123 AVE, PEMBROKE PINES, FL 33026
Mail Address: 1861 NW 123 AVE, PEMBROKE PINES, FL 33026
ZIP code: 33026
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831611003 2017-07-10 2022-07-21 1861 NW 123RD AVE, PEMBROKE PINES, FL, 330263825, US 1861 NW 123RD AVE, PEMBROKE PINES, FL, 330263825, US

Contacts

Phone +1 954-513-3311

Authorized person

Name DR. NORBERTO PEDROSO
Role PRESIDENT
Phone 9545133311

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME100918
State FL
Is Primary Yes

Other Provider Identifiers

Issuer N/A
Number NA

Agent

Name Role Address
PEDROSO, NORBERTO Agent 1861 NW 123 AVE, PEMBROKE PINES, FL 33026

President

Name Role Address
PEDROSO, NORBERTO President 1861 NW 123 AVE, PEMBROKE PINES, FL 33026

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
NAME CHANGE AMENDMENT 2017-04-04 SOUTH FLORIDA ELITE MD GROUP, INC. No data

Documents

Name Date
ANNUAL REPORT 2019-04-28
ANNUAL REPORT 2018-03-19
Name Change 2017-04-04
Domestic Profit 2017-01-12

Date of last update: 18 Feb 2025

Sources: Florida Department of State