| Entity Name: | PRIMARY CARE SPECIALIST OF SOUTH FLORIDA PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 May 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 20 Feb 2020 (5 years ago) |
| Document Number: | P18000038968 |
| FEI/EIN Number | 82-5412701 |
| Address: | 20200 W DIXIE HIGHWAY STE 1105A, AVENTURA, FL, 33180, US |
| Mail Address: | 20200 W DIXIE HIGHWAY STE 1105A, AVENTURA, FL, 33180, US |
| ZIP code: | 33180 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962995845 | 2018-06-14 | 2024-09-04 | 20200 W DIXIE HIGH WAY, 1105A, MIAMI, FL, 33301, US | 4850 W OAKLAND PARK BLVD STE 143, LAUDERDALE LAKES, FL, 333137277, US | |||||||||||||||||
|
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| Phone | +1 786-275-3727 |
| Fax | 3055994119 |
| Phone | +1 786-275-3725 |
Authorized person
| Name | JARYNET BELTRAN |
| Role | OWNER |
| Phone | 9549374828 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BELTRAN JARYNET | Agent | 20200 W DIXIE HIGHWAY STE 1105A, AVENTURA, FL, 33180 |
| Name | Role | Address |
|---|---|---|
| BELTRAN JARYNET | Director | 20200 W DIXIE HIGHWAY STE 1108, AVENTURA, FL, 33180 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000086576 | ASSOCIATESNP | ACTIVE | 2022-07-21 | 2027-12-31 | No data | 201 NW 82ND AVE SUITE 201, PLANTATION, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-01 | 20200 W DIXIE HIGHWAY STE 1105A, AVENTURA, FL 33180 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-01 | 20200 W DIXIE HIGHWAY STE 1105A, AVENTURA, FL 33180 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-01 | 20200 W DIXIE HIGHWAY STE 1105A, AVENTURA, FL 33180 | No data |
| REINSTATEMENT | 2020-02-20 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-02-20 | BELTRAN, JARYNET | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-04 |
| REINSTATEMENT | 2020-02-20 |
| Domestic Profit | 2018-05-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
