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SEPA CENTRAL FLORIDA, INC. - Florida Company Profile

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Company Details

Entity Name: SEPA CENTRAL FLORIDA, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 24 Jun 2019 (6 years ago)
Document Number: P19000053073
FEI/EIN Number 84-2187872
Address: 10621 NORTH KENDALL DR, SUITE 211, MIAMI, FL, 33176, US
Mail Address: 10621 NORTH KENDALL DR, SUITE 211, MIAMI, FL, 33176, US
ZIP code: 33176
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
De Jesus Ivan D Chief Executive Officer 2103 Coral Way, Coral Gables, FL, 33145
- Agent -

National Provider Identifier

NPI Number:
1619646635
Certification Date:
2021-09-13

Authorized Person:

Name:
RENE F GOMEZ
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
302F00000X - Exclusive Provider Organization
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-04-30 AXEN Health, Inc. -
REGISTERED AGENT ADDRESS CHANGED 2023-04-30 2103 Coral Way, 2nd Floor, Coral Gables, FL 33145 -

Documents

Name Date
ANNUAL REPORT 2024-04-30
AMENDED ANNUAL REPORT 2023-08-29
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-04-04
ANNUAL REPORT 2021-07-27
ANNUAL REPORT 2020-03-13
Domestic Profit 2019-06-24

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Date of last update: 02 Aug 2025

Sources: Florida Department of State