Entity Name: | MONIZE MEDICAL GROUP, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 10 Aug 2018 (7 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 14 Feb 2022 (3 years ago) |
Document Number: | P18000069007 |
FEI/EIN Number | 83-1606709 |
Address: | 1216 SE 1st Ave, Fort Lauderdale, FL 33316 |
Mail Address: | 8972 Southern Orchard Rd N, Davie, FL 33328 |
ZIP code: | 33316 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1356909196 | 2019-06-05 | 2019-06-05 | 828 SW 15TH ST, FORT LAUDERDALE, FL, 333151627, US | 5040 NW 7TH ST STE 635, MIAMI, FL, 331263422, US | |||||||||||||||||
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Phone | +1 602-791-3564 |
Fax | 7864757787 |
Phone | +1 305-644-2212 |
Authorized person
Name | DR. BRIAN CHRISTOPHER MONIZE |
Role | OWNER |
Phone | 6027913564 |
Taxonomy
Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Monize, Brian | Agent | 8972 Southern Orchard Rd N, Davie, FL 33328 |
Name | Role | Address |
---|---|---|
MONIZE, BRIAN | President | 8972 Southern Orchard Rd N, Davie, FL 33328 |
Name | Role | Address |
---|---|---|
MONIZE, BRIAN | Director | 8972 Southern Orchard Rd N, Davie, FL 33328 |
Name | Role | Address |
---|---|---|
FERNANDEZ, YENISLEIMIS C | Vice President | 8972 Southern Orchard Rd N, Davie, FL 33328 |
Name | Role | Address |
---|---|---|
FERNANDEZ, YENISLEIMIS C | Secretary | 8972 Southern Orchard Rd N, Davie, FL 33328 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G23000028275 | BALANCE MEDICAL | ACTIVE | 2023-03-01 | 2028-12-31 | No data | 828 SW 15TH ST, FORT LAUDERDALE, FL, 33315 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2025-02-11 | 1216 SE 1st Ave, Fort Lauderdale, FL 33316 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2025-02-11 | 8972 Southern Orchard Rd N, Davie, FL 33328 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2024-02-12 | 1216 SE 1st Ave, Fort Lauderdale, FL 33316 | No data |
REINSTATEMENT | 2022-02-14 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2019-06-14 | Monize, Brian | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-02-11 |
ANNUAL REPORT | 2024-02-12 |
ANNUAL REPORT | 2023-01-27 |
REINSTATEMENT | 2022-02-14 |
ANNUAL REPORT | 2020-03-30 |
ANNUAL REPORT | 2019-06-14 |
Domestic Profit | 2018-08-10 |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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3558587410 | 2020-05-07 | 0455 | PPP | 828 SW 15TH ST, FORT LAUDERDALE, FL, 33315 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Feb 2025
Sources: Florida Department of State