| Entity Name: | PASSQUAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 18 Nov 2020 (4 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 18 Nov 2020 (4 years ago) |
| Document Number: | P20000090503 |
| FEI/EIN Number | 84-4869837 |
| Address: | 18300 NW 62nd Avenue, Suite 210, Miami Gardens, FL 33015 |
| Mail Address: | 18300 NW 62nd Avenue, Suite 210, Miami Gardens, FL 33015 |
| ZIP code: | 33015 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427677319 | 2020-04-10 | 2023-01-25 | 18300 NW 62ND AVE STE 210, MIAMI GARDENS, FL, 330158207, US | 18300 NW 62ND AVE STE 210, MIAMI GARDENS, FL, 330158207, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 786-677-9922 |
| Fax | 8448953066 |
Authorized person
| Name | DR. HENDRY PEREZ PASCUAL |
| Role | CEO, PRESIDENT |
| Phone | 3058985440 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 112158400 |
| State | FL |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| Perez Pascual, MD, Hendry J, Dr. | President | 18300 NW 62nd Avenue, Suite 210 Miami Gardens, FL 33015 |
| Name | Role | Address |
|---|---|---|
| Perez Pascual, MD, Hendry J, Dr. | Chief Executive Officer | 18300 NW 62nd Avenue, Suite 210 Miami Gardens, FL 33015 |
| Name | Role | Address |
|---|---|---|
| Barroso Perez, Arlenis, Dr. | Vice President | 18300 NW 62nd Avenue, Suite 210 Miami Gardens, FL 33015 |
| Name | Role | Address |
|---|---|---|
| Barroso Perez, Arlenis, Dr. | Chief Operating Officer | 18300 NW 62nd Avenue, Suite 210 Miami Gardens, FL 33015 |
| Name | Role | Address |
|---|---|---|
| Garcia Miranda, Martha, Dr. | Chief Marketing Officer | 18300 NW 62nd Avenue, Suite 210 Miami Gardens, FL 33015 |
| Name | Role | Address |
|---|---|---|
| Garcia Miranda, Martha, Dr. | Officer | 18300 NW 62nd Avenue, Suite 210 Miami Gardens, FL 33015 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000139275 | WELLNEX ACADEMY | ACTIVE | 2024-11-14 | 2029-12-31 | No data | 8211 NW 169TH TER, MIAMI LAKES, FL, 33016 |
| G22000122929 | OMNIVERSO DIVINO | ACTIVE | 2022-09-29 | 2027-12-31 | No data | 8211 NW 169TH TERRACE, STE 0.0001, MIAMI LAKES, FL, 33016 |
| G20000152921 | PASSQUAL HEALTH | ACTIVE | 2020-12-02 | 2025-12-31 | No data | 18300 NW 62ND AVE. SUITE 210, MIAMI GARDENS, FL, 33015 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-01 | 18300 NW 62nd Avenue, Suite 210, Miami Gardens, FL 33015 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-01 | 18300 NW 62nd Avenue, Suite 210, Miami Gardens, FL 33015 | No data |
| CONVERSION | 2020-11-18 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS. CONVERSION NUMBER 100000207411 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-06 |
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-02-03 |
| AMENDED ANNUAL REPORT | 2022-10-05 |
| ANNUAL REPORT | 2022-02-01 |
| AMENDED ANNUAL REPORT | 2021-03-01 |
| ANNUAL REPORT | 2021-02-09 |
| Domestic Profit | 2020-11-18 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
