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MOSCOSO MEDICAL GROUP INC.

Company Details

Entity Name: MOSCOSO MEDICAL GROUP INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 18 Jul 2017 (8 years ago)
Document Number: P17000060846
FEI/EIN Number 82-2185231
Address: 6875 W 4 AVE, HIALEAH, FL 33014
Mail Address: 6875 W 4 AVE, HIALEAH, FL 33014
ZIP code: 33014
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427769868 2022-12-07 2022-12-07 6875 W 4TH AVE, HIALEAH, FL, 330145337, US 6875 W 4TH AVE, HIALEAH, FL, 330145337, US

Contacts

Phone +1 305-323-8994
Fax 3058241222

Authorized person

Name BARBARA MOSCOSO
Role PRESIDENT OWNER
Phone 3053238994

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
MOSCOSO, BARBARA Agent 11510 SW 47 STREET, MIAMI, FL 33165

President

Name Role Address
MOSCOSO, BARBARA President 11510 SW 47 STREET, MIAMI, FL 33165

Treasurer

Name Role Address
MORALES, ADRIAN Treasurer 11510 SW 47TH STREET, MIAMI, FL 33165

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-10-17 6875 W 4 AVE, HIALEAH, FL 33014 No data
CHANGE OF MAILING ADDRESS 2023-10-17 6875 W 4 AVE, HIALEAH, FL 33014 No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
AMENDED ANNUAL REPORT 2023-10-17
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-04-15
ANNUAL REPORT 2021-04-20
ANNUAL REPORT 2020-06-04
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-04-26
Domestic Profit 2017-07-18

Date of last update: 18 Jan 2025

Sources: Florida Department of State