| Entity Name: | GUTLEBER MEDICAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Mar 2019 (6 years ago) |
| Document Number: | P19000022006 |
| FEI/EIN Number | 542106752 |
| Address: | 139 NE 15TH STREET, HOMESTEAD, FL, 33030, US |
| Mail Address: | 139 NE 15TH STREET, HOMESTEAD, FL, 33030, US |
| ZIP code: | 33030 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770010753 | 2017-05-22 | 2021-12-03 | 139 NE 15TH ST, HOMESTEAD, FL, 330304508, US | 139 NE 15TH ST, HOMESTEAD, FL, 330304508, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 305-247-1213 |
| Fax | 3052471213 |
Authorized person
| Name | MARIA ELENA GUTLEBER |
| Role | PRESIDENT |
| Phone | 3053237455 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GUTLEBER MARIA E | Agent | 15770 SW 216 ST, MIAMI, FL, 33170 |
| Name | Role | Address |
|---|---|---|
| GUTLEBER MARIA | President | 139 NE 15TH STREET, HOMESTEAD, FL, 33030 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-03-07 | GUTLEBER, MARIA E | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-07 | 15770 SW 216 ST, MIAMI, FL 33170 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-09 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-06-10 |
| Domestic Profit | 2019-03-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
