| Entity Name: | ADVANCE AUTONOMOUS MEDICAL GROUP.INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 30 Aug 2021 (3 years ago) |
| Document Number: | P21000077189 |
| FEI/EIN Number | 87-2426795 |
| Address: | 2103 Renaissance Blvd, 107, Miramar, FL 33025 |
| Mail Address: | 2103 Renaissance Blvd, 107, Miramar, FL 33025 |
| ZIP code: | 33025 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972233815 | 2022-06-14 | 2023-03-13 | 2103 RENAISSANCE BLVD APT 107, MIRAMAR, FL, 330255691, US | 2103 RENAISSANCE BLVD APT 107, MIRAMAR, FL, 330255691, US | |||||||||||||
|
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| Phone | +1 786-631-8382 |
Authorized person
| Name | CARLOS ALBERTO LEON |
| Role | AUTONOMOUS NURSE PRACTITIONER |
| Phone | 7866318382 |
Taxonomy
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEON, CARLOS A | Agent | 2103 Renaissance Blvd, 107, Miramar, FL 33025 |
| Name | Role | Address |
|---|---|---|
| LEON, CARLOS A | President | 2103 Renaissance Blvd, 107 Miramar, FL 33025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-05 | 2103 Renaissance Blvd, 107, Miramar, FL 33025 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-05 | 2103 Renaissance Blvd, 107, Miramar, FL 33025 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-05 | 2103 Renaissance Blvd, 107, Miramar, FL 33025 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-04-05 |
| Domestic Profit | 2021-08-30 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
