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PROVITA PHYSICIAN GROUP CORP - Florida Company Profile

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Company Details

Entity Name: PROVITA PHYSICIAN GROUP CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PROVITA PHYSICIAN GROUP CORP is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 17 Mar 2022 (3 years ago)
Document Number: P22000020388
FEI/EIN Number 88-1297728

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 3157 N University Dr., Davie, FL, 33024, US
Mail Address: 16325 NW 11TH ST, PEMBROKE PINES, FL, 33028, US
ZIP code: 33024
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PLACENCIA OSMANI President 16325 NW 11TH ST, PEMBROKE PINES, FL, 33028
PLACENCIA OSMANI Agent 16325 NW 11TH ST, PEMBROKE PINES, FL, 33028

National Provider Identifier

NPI Number:
1992435622
Certification Date:
2022-06-15

Authorized Person:

Name:
ILEANA DELGADO
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
9543228981

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-03 3157 N University Dr., Suite 103, Davie, FL 33024 -
CHANGE OF MAILING ADDRESS 2024-04-03 3157 N University Dr., Suite 103, Davie, FL 33024 -
REGISTERED AGENT ADDRESS CHANGED 2024-04-03 16325 NW 11TH ST, PEMBROKE PINES, FL 33028 -

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-02-21
Domestic Profit 2022-03-17

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Date of last update: 03 Jun 2025

Sources: Florida Department of State