| Entity Name: | KAG HEALTHCARE GROUP INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Jun 2021 (4 years ago) |
| Document Number: | P21000052620 |
| FEI/EIN Number | 87-0869485 |
| Address: | 12763 SW 204TH ST, MIAMI, FL 33177 |
| Mail Address: | 12763 SW 204TH ST, MIAMI, FL 33177 |
| ZIP code: | 33177 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437721230 | 2021-07-13 | 2021-07-13 | 3850 SW 87TH AVE STE 201, MIAMI, FL, 331655473, US | 3850 SW 87TH AVE STE 201, MIAMI, FL, 331655473, US | |||||||||||||||
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| Phone | +1 786-801-1394 |
| Fax | 3054669543 |
Authorized person
| Name | JORGE GARCIA |
| Role | CREDENTIALING DIRECTOR |
| Phone | 3056060337 |
Taxonomy
| Taxonomy Code | 364SF0001X - Family Health Clinical Nurse Specialist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, KENIA | Agent | 12763 SW 204TH ST, MIAMI, FL 33177 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, KENIA | President | 12763 SW 204TH ST, MIAMI, FL 33177 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-04-13 |
| Domestic Profit | 2021-06-03 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
