| Entity Name: | GENOMA MEDICAL GROUP, CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Nov 2020 (4 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 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316519358 | 2021-07-10 | 2021-12-15 | 7000 SW 97TH AVE STE 201, MIAMI, FL, 331731492, US | 7000 SW 97TH AVE STE 201, MIAMI, FL, 331731492, US | |||||||||||||||
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| Phone | +1 305-392-1264 |
| Fax | 3056461756 |
Authorized person
| Name | ITSEL CARDENAS RAMON |
| Role | VICE-PRESIDENT |
| Phone | 3053921264 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARDENAS HECTOR | Agent | 9101 SW 41ST STREET, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| CARDENAS HECTOR O | President | 9101 SW 41ST STREET, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| CARDENAS RAMON ITSEL | Vice President | 8501 SW 47TH STREET, MIAMI, FL, 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-13 | 7000 SW 97th Avenue, 201, MIAMI, FL 33173 | No data |
| CHANGE OF MAILING ADDRESS | 2021-10-13 | 7000 SW 97th Avenue, 201, MIAMI, FL 33173 | No data |
| 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 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
