| Entity Name: | GOLDEN GATE MEDICAL GROUP, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 29 Sep 2020 (4 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 05 Jan 2023 (2 years ago) |
| Document Number: | P20000078168 |
| FEI/EIN Number | 85-3414053 |
| Address: | 1818 W FLAGLER ST, FLOOR #2, MIAMI, FL 33135 |
| Mail Address: | 1818 W FLAGLER ST, FLOOR #2, MIAMI, FL 33135 |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366041709 | 2020-10-17 | 2023-06-26 | 1818 W FLAGLER ST, MIAMI, FL, 331351915, US | 1818 W FLAGLER ST, MIAMI, FL, 331351915, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 786-755-2897 |
| Fax | 3053645767 |
Authorized person
| Name | DANIELA RUIZ ALVAREZ |
| Role | PRESIDENT |
| Phone | 7542089566 |
Taxonomy
| Taxonomy Code | 207RA0201X - Allergy & Immunology (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| QUINTERO, FRANK, JR | Agent | 75 VALENCIA AVE, STE 800, CORA GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| RUIZ ALVAREZ, DANIELA | President | 1818 W FLAGLER ST, FLOOR #2 MIAMI, FL 33135 |
| Name | Role | Address |
|---|---|---|
| CONSUEGRA, JOHANDRA M | Vice President | 1818 W FLAGLER ST, FLOOR #2 MIAMI, FL 33135 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000145596 | EL RETIRO MEDICAL CENTER | ACTIVE | 2021-10-29 | 2026-12-31 | No data | 1818 W FLAGLER ST, MIAMI, FL, 33135 |
| G21000096576 | GOLDEN GATE MEDICAL GROUP | ACTIVE | 2021-07-23 | 2026-12-31 | No data | 1000 PARK CENTER BLVD STE 138, MIAMI, FL, 33169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-08 | 1818 W FLAGLER ST, FLOOR #2, MIAMI, FL 33135 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-08 | 1818 W FLAGLER ST, FLOOR #2, MIAMI, FL 33135 | No data |
| NAME CHANGE AMENDMENT | 2023-01-05 | GOLDEN GATE MEDICAL GROUP, CORP. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-04 | 75 VALENCIA AVE, STE 800, CORA GABLES, FL 33134 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-04 | QUINTERO, FRANK, JR | No data |
| AMENDMENT | 2021-10-12 | No data | No data |
| AMENDMENT | 2020-11-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| AMENDED ANNUAL REPORT | 2023-09-08 |
| ANNUAL REPORT | 2023-03-31 |
| Name Change | 2023-01-05 |
| ANNUAL REPORT | 2022-03-30 |
| Reg. Agent Change | 2022-02-04 |
| Amendment | 2021-10-12 |
| ANNUAL REPORT | 2021-02-06 |
| Amendment | 2020-11-19 |
| Domestic Profit | 2020-09-29 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
