| Entity Name: | FIVE STAR MEDICAL GROUP INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 May 2019 (6 years ago) |
| Document Number: | P19000045309 |
| FEI/EIN Number | 84-1971820 |
| Address: | 4300 10TH AVE N, 2, LAKE WORTH, FL, 33461 |
| Mail Address: | 4300 10TH AVE N, 2, LAKE WORTH, FL, 33461 |
| ZIP code: | 33461 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841849692 | 2019-09-04 | 2019-09-04 | 4300 10TH AVE NORTH, SUITE 2, LAKE WORTH, FL, 33461, US | 4300 10TH AVE NORTH, SUITE 2, LAKE WORTH, FL, 33461, US | |||||||||||||||
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| Phone | +1 561-335-3860 |
| Fax | 5613353845 |
Authorized person
| Name | MR. JOSE RIVERO |
| Role | OWNER |
| Phone | 5613353860 |
Taxonomy
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RIVERO JOSE R | Agent | 4300 10TH AVENUE N, LAKE WORTH, FL, 33461 |
| Name | Role | Address |
|---|---|---|
| RIVERO JOSE RSR | President | 4300 10TH AVE N SUITE2, LAKE WORTH, FL, 33461 |
| Name | Role | Address |
|---|---|---|
| GARCIA DURAN EDEL BSR | Vice President | 4300 10TH AVE N SUITE2, LAKE WORTH, FL, 33461 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-10-01 | 4300 10TH AVE N, 2, LAKE WORTH, FL 33461 | No data |
| CHANGE OF MAILING ADDRESS | 2025-10-01 | 4300 10TH AVE N, 2, LAKE WORTH, FL 33461 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-01 | 4300 10TH AVE N, 2, LAKE WORTH, FL 33461 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-01 | 4300 10TH AVE N, 2, LAKE WORTH, FL 33461 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-03-25 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-03-03 |
| Domestic Profit | 2019-05-23 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
