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GENOMA MEDICAL GROUP, CORP - Florida Company Profile

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Company Details

Entity Name: GENOMA MEDICAL GROUP, CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Nov 2020 (5 years ago)
Document Number: P20000089750
FEI/EIN Number 85-4097133
Address: 7000 SW 97th Avenue, 201, MIAMI, FL, 33173, US
Mail Address: 7000 SW 97th Avenue, 201, MIAMI, FL, 33173, US
ZIP code: 33173
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CARDENAS HECTOR O President 8501 SW 47th ST, MIAMI, FL, 33155
CARDENAS RAMON ITSEL Vice President 13344 N.W. 6th Street, MIAMI, FL, 33182
CARDENAS HECTOR Agent 8501 SW 47th street, MIAMI, FL, 33155

National Provider Identifier

NPI Number:
1316519358
Certification Date:
2021-12-15

Authorized Person:

Name:
ITSEL CARDENAS RAMON
Role:
VICE-PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3056461756

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-10-13 7000 SW 97th Avenue, 201, MIAMI, FL 33173 -
CHANGE OF MAILING ADDRESS 2021-10-13 7000 SW 97th Avenue, 201, MIAMI, FL 33173 -

Documents

Name Date
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-02-02
AMENDED ANNUAL REPORT 2021-10-13
ANNUAL REPORT 2021-09-22
Domestic Profit 2020-11-10

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Date of last update: 01 Aug 2025

Sources: Florida Department of State