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