| Entity Name: | SOUTH FLORIDA SPORTS AND PREVENTIVE MEDICINE, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Mar 2019 (6 years ago) |
| Document Number: | P19000025430 |
| FEI/EIN Number | 83-4148382 |
| Address: | 14601 SW 29th Street, Miramar, FL, 33027, US |
| Mail Address: | 2681 N Flamingo Rd, Unit 2705S, SUNRISE, FL, 33323, US |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790246148 | 2019-03-28 | 2023-07-11 | 14601 SW 29TH ST STE 109, MIRAMAR, FL, 330274715, US | 14601 SW 29TH ST STE 109, MIRAMAR, FL, 330274715, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 954-800-1991 |
| Fax | 8087318348 |
Authorized person
| Name | DR. SERGIO GUITEAU |
| Role | PRESIDENT |
| Phone | 5168490072 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GUITEAU SERGIO | Agent | 2681 N Flamingo Rd, SUNRISE, FL, 33323 |
| Name | Role | Address |
|---|---|---|
| Guiteau Sergio | President | 2681 N Flamingo Rd, SUNRISE, FL, 33323 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000059099 | SOUTH FLORIDA ADVANCED REJUVENATION | ACTIVE | 2022-05-10 | 2027-12-31 | No data | 14601 SW 29TH STREET, SUITE 109, MIRAMAR, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-20 | 14601 SW 29th Street, Suite 109, Miramar, FL 33027 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-14 | 14601 SW 29th Street, Suite 109, Miramar, FL 33027 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-14 | 2681 N Flamingo Rd, Unit 2705S, SUNRISE, FL 33323 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-03-24 |
| ANNUAL REPORT | 2022-02-20 |
| ANNUAL REPORT | 2021-02-14 |
| ANNUAL REPORT | 2020-01-31 |
| Domestic Profit | 2019-03-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
