| Entity Name: | AJ MEDICINE GROUP, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 05 Nov 2021 (3 years ago) |
| Document Number: | P21000095570 |
| FEI/EIN Number | 87-3518920 |
| Address: | 9615 NW 41st Street, Doral, FL 33178 |
| Mail Address: | 9615 NW 41st Street, Doral, FL 33178 |
| ZIP code: | 33178 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457017568 | 2021-11-12 | 2021-11-12 | 6690 SW 97TH AVE, MIAMI, FL, 331731468, US | 9615 NW 41ST ST, DORAL, FL, 331782973, US | |||||||||||||
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| Phone | +1 305-635-1445 |
Authorized person
| Name | JULIO NIETO |
| Role | PRESIDENT |
| Phone | 3056351445 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Nieto, Julio A., Dr. | Agent | 9615 NW 41st Street, Doral, FL 33178 |
| Name | Role | Address |
|---|---|---|
| NIETO, JULIO A., Dr. | President | 9615 NW 41st Street, Doral, FL 33178 |
| Name | Role | Address |
|---|---|---|
| Nieto, Ashley Morgan | Chief Executive Officer | 9615 NW 41st Street, Doral, FL 33178 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000151297 | MIAMI MEDICAL EVALUATIONS | ACTIVE | 2021-11-11 | 2026-12-31 | No data | 6690 SW 97TH AVENUE, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-14 | Nieto, Julio A., Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-14 | 9615 NW 41st Street, Doral, FL 33178 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-06 | 9615 NW 41st Street, Doral, FL 33178 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-06 | 9615 NW 41st Street, Doral, FL 33178 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-01-13 |
| ANNUAL REPORT | 2023-01-14 |
| ANNUAL REPORT | 2022-04-06 |
| Articles of Incorporation | 2001-11-05 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
