| Entity Name: | NOVENNA MEDICAL GROUP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 May 2018 (7 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P18000048547 |
| FEI/EIN Number | 831160756 |
| Address: | 5979 NW 151 ST, STE 110, MIAMI LAKES, FL, 33014, US |
| Mail Address: | 5979 NW 151 ST, STE 110, MIAMI LAKES, FL, 33014, US |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114495694 | 2018-11-02 | 2021-09-01 | 5979 NW 151 ST STE 110, MIAMI LAKES, FL, 330142448, US | 5979 NW 151 ST STE 110, MIAMI LAKES, FL, 330142448, US | |||||||||||||||||||
|
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| Phone | +1 786-762-2973 |
Authorized person
| Name | JAHZIER ARIAS |
| Role | OWNER |
| Phone | 7867622973 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | HCC11532 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ARIAS JAHZIER | Agent | 5979 NW 151 ST, Miami Lakes, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| ARIAS JAHZIER | President | 5979 NW 151 ST, Miami Lakes, FL, 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-14 | 5979 NW 151 ST, Suite 110, Miami Lakes, FL 33014 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-14 | ARIAS, JAHZIER | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-06-06 | 5979 NW 151 ST, STE 110, MIAMI LAKES, FL 33014 | No data |
| CHANGE OF MAILING ADDRESS | 2019-06-06 | 5979 NW 151 ST, STE 110, MIAMI LAKES, FL 33014 | No data |
| AMENDMENT | 2018-11-01 | No data | No data |
| AMENDMENT | 2018-07-25 | No data | No data |
| AMENDMENT | 2018-07-10 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-05-05 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-03-11 |
| Amendment | 2018-11-01 |
| Amendment | 2018-07-25 |
| Amendment | 2018-07-10 |
| Domestic Profit | 2018-05-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
