| Entity Name: | COTS MEDICAL GROUP CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Mar 2020 (5 years ago) |
| Document Number: | P20000020611 |
| FEI/EIN Number | 84-5051684 |
| Address: | 7500 sw 8 st, suite 202, MIAMI, FL, 33144, US |
| Mail Address: | 7500 sw 8 st, suite 202, MIAMI, FL, 33144, US |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245817725 | 2021-03-29 | 2022-05-02 | 7500 SW 8TH ST STE 202, MIAMI, FL, 331444400, US | 7500 SW 8TH ST STE 202, CORAL GABLES, FL, 331444400, US | |||||||||||||||||||||
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| Phone | +1 786-558-9009 |
| Fax | 7863324361 |
Authorized person
| Name | UVALDO GONZALEZ |
| Role | OWNER |
| Phone | 3052181628 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 113585800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GONZALEZ UVALDO | Agent | 7500 sw 8 st, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ UVALDO | President | 7500 sw 8 st, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| BARRIOS SARACENI D | Vice President | 4364 20TH AVE SW, NAPLES, FL, 34116 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-15 | 7500 sw 8 st, suite 202, MIAMI, FL 33144 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-15 | 7500 sw 8 st, suite 202, MIAMI, FL 33144 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-15 | 7500 sw 8 st, suite 202, MIAMI, FL 33144 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-03-04 |
| Domestic Profit | 2020-03-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
