| Entity Name: | A PORRES FAMILY MEDICINE, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Mar 2021 (4 years ago) |
| Document Number: | P21000023846 |
| FEI/EIN Number | 86-2769497 |
| Address: | 5321 SW 155TH AVE, MIRAMAR, FL, 33027, US |
| Mail Address: | 5321 SW 155TH AVE, MIRAMAR, FL, 33027, US |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427870708 | 2024-10-29 | 2024-10-29 | 5321 SW 155TH AVE, MIRAMAR, FL, 330275624, US | 5321 SW 155TH AVE, MIRAMAR, FL, 330275624, US | |||||||||||||||||
|
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| Phone | +1 786-301-7055 |
Authorized person
| Name | ALEKSANDER PORRES MILIAN |
| Role | OWNER |
| Phone | 7863017055 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PORRES ALEKSANDER | Agent | 5321 SW 155TH AVE, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| PORRES ALEKSANDER | President | 5321 SW 155TH AVE, MIRAMAR, FL, 33027 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000130074 | AP PSYCHIATRY & COUNSELING | ACTIVE | 2024-10-22 | 2029-12-31 | No data | 5321 SW 155TH AVE, MIRAMAR, FL, 33027 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-04-01 |
| ANNUAL REPORT | 2022-04-21 |
| Domestic Profit | 2021-03-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
