| Entity Name: | FUSTER HEALTH PRACTICE, CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 May 2019 (6 years ago) |
| Document Number: | P19000044356 |
| FEI/EIN Number | 84-2490149 |
| Address: | 7785 NW 201 TER, HIALEAH, FL 33015 |
| Mail Address: | 7785 NW 201 TER, HIALEAH, FL 33015 |
| ZIP code: | 33015 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740899533 | 2020-07-28 | 2020-08-05 | 7785 NW 201ST TER, HIALEAH, FL, 330155988, US | 7785 NW 201ST TER, HIALEAH, FL, 330155988, US | |||||||||||||
|
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| Phone | +1 786-202-5615 |
Authorized person
| Name | MAYTE L FUSTER RODRIGUEZ |
| Role | OWNER |
| Phone | 7862025615 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FUSTER RODRIGUEZ, MAYTE L | Agent | 7785 NW 201 TER, HIALEAH, FL 33015 |
| Name | Role | Address |
|---|---|---|
| FUSTER RODRIGUEZ, MAYTE L | President | 7785 NW 201 TER, HIALEAH, FL 33015 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-03-15 |
| Domestic Profit | 2019-05-21 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
