Entity Name: | GOLDEN HEALTH CORPORATION |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 03 Jul 2019 (6 years ago) |
Last Event: | AMENDMENT |
Event Date Filed: | 13 Mar 2020 (5 years ago) |
Document Number: | P19000055384 |
FEI/EIN Number | 84-2540141 |
Address: | 5612 NW 167TH STREET, MIAMI GARDENS, FL, 33014, US |
Mail Address: | 5612 NW 167TH STREET, MIAMI GARDENS, FL, 33014, US |
ZIP code: | 33014 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1255918801 | 2021-03-28 | 2024-08-06 | 5612 NW 167TH STREET, MIAMI LAKES, FL, 330146135, US | 5612 NW 167TH STREET, MIAMI LAKES, FL, 330146135, US | |||||||||||||||||||||||||||
|
Phone | +1 786-858-7800 |
Fax | 7865490170 |
Authorized person
Name | MRS. PRISCILLA AUCAR |
Role | PRESIDENT |
Phone | 7868587800 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 113280300 |
State | FL |
Issuer | MEDICARE |
Number | OP333 |
State | FL |
Name | Role | Address |
---|---|---|
AUCAR PRISCILLA | Agent | 17105 SW 170 AVE, MIAMI, FL, 33187 |
Name | Role | Address |
---|---|---|
AUCAR PRISCILLA | President | 17105 W 170 AVE, MIAMI, FL, 33187 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2021-04-06 | 17105 SW 170 AVE, MIAMI, FL 33187 | No data |
AMENDMENT | 2020-03-13 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2020-03-13 | 5612 NW 167TH STREET, MIAMI GARDENS, FL 33014 | No data |
CHANGE OF MAILING ADDRESS | 2020-03-13 | 5612 NW 167TH STREET, MIAMI GARDENS, FL 33014 | No data |
REGISTERED AGENT NAME CHANGED | 2020-03-13 | AUCAR, PRISCILLA | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-17 |
ANNUAL REPORT | 2023-03-06 |
ANNUAL REPORT | 2022-04-28 |
ANNUAL REPORT | 2021-04-06 |
ANNUAL REPORT | 2020-07-22 |
Amendment | 2020-03-13 |
Domestic Profit | 2019-07-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State