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JF PRIMARY CARE MD PA

Company Details

Entity Name: JF PRIMARY CARE MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Jan 2020 (5 years ago)
Document Number: P20000009693
FEI/EIN Number 84-4514876
Address: 8200 SW 117TH AVE, 314, MIAMI, FL, 33183
Mail Address: 8200 SW 117TH AVE, 314, MIAMI, FL, 33183
ZIP code: 33183
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578191870 2020-03-31 2020-03-31 8200 SW 117TH AVE STE 314, MIAMI, FL, 331834826, US 8200 SW 117TH AVE STE 314, MIAMI, FL, 331834826, US

Contacts

Phone +1 305-274-6422
Fax 3052745707

Authorized person

Name JORGE FLEITES
Role OWNER
Phone 3052746422

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
FLEITES JORGE Agent 8200 SW 117TH AVE, MIAMI, FL, 33183

President

Name Role Address
FLEITES JORGE President 8200 SW 117TH AVE SUITE 314, MIAMI, FL, 33183

Documents

Name Date
ANNUAL REPORT 2024-02-10
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-02-25
ANNUAL REPORT 2021-01-10
Domestic Profit 2020-01-27

Date of last update: 01 Feb 2025

Sources: Florida Department of State