| Entity Name: | EXCELLENCE HEALTHCARE, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Oct 2018 (6 years ago) |
| Document Number: | P18000083681 |
| FEI/EIN Number | 83-2235587 |
| Address: | 16239 SW 88 ST, MIAMI, FL, 33196, US |
| Mail Address: | 15742 S.W. 100 TERR, MIAMI, FL, 33196, US |
| ZIP code: | 33196 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790247104 | 2019-04-03 | 2021-09-27 | 15742 SW 100TH TER, MIAMI, FL, 331966116, US | 16239 SW 88TH ST, MIAMI, FL, 331964912, US | |||||||||||||||
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| Phone | +1 786-953-5009 |
| Fax | 3055036777 |
Authorized person
| Name | IDANIA HURTADO-PEREZ |
| Role | PHYSICIAN/PRESIDENT |
| Phone | 7869535009 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HURTADO PEREZ IDANIA | Agent | 15742 S.W. 100 TERR, MIAMI, FL, 33196 |
| Name | Role | Address |
|---|---|---|
| HURTADO PEREZ IDANIA | President | 15742 S.W. 100 TERR, MIAMI, FL, 33196 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000051786 | EXCELLENCE HEALTHCARE WEST KENDALL ADULT CENTER | ACTIVE | 2021-04-15 | 2026-12-31 | No data | 16239 SW 88TH ST, MIAMI, FL, 33193 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-23 | 16239 SW 88 ST, MIAMI, FL 33196 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-23 | HURTADO PEREZ, IDANIA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-04-23 |
| Domestic Profit | 2018-10-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
