| Entity Name: | ESENCIA PRIMARY CARE AND MEDSPA CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Feb 2022 (3 years ago) |
| Document Number: | P22000014810 |
| FEI/EIN Number | 88-0751582 |
| Address: | 10520 NW 26th St, Unit 201A, Doral, FL 33172 |
| Mail Address: | 15230 NW 89TH AVE, MIAMI LAKES, FL 33018 |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164169512 | 2022-05-17 | 2022-05-17 | 10520 NW 26TH ST STE C201, DORAL, FL, 331722161, US | 10520 NW 26TH ST STE C201, DORAL, FL, 331722161, US | |||||||||||||||||||
|
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| Phone | +1 786-615-5558 |
Authorized person
| Name | MR. JESUS RAMOS |
| Role | AUTHORIZED OFFICIAL |
| Phone | 7866155058 |
Taxonomy
| Taxonomy Code | 364SF0001X - Family Health Clinical Nurse Specialist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | 11017780 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RAMOS, JESUS | Agent | 15230 NW 89TH AVE, MIAMI LAKES, FL 33018 |
| Name | Role | Address |
|---|---|---|
| RAMOS, JESUS | President | 15230 NW 89TH AVE, MIAMI LAKES, FL 33018 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-01 | 10520 NW 26th St, Unit 201A, Doral, FL 33172 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-05 |
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-03-01 |
| Domestic Profit | 2022-02-17 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
