Entity Name: | IC PROFESSIONAL SERVICES INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 08 Mar 2022 (3 years ago) |
Document Number: | P22000021362 |
FEI/EIN Number | 882506220 |
Address: | 4995 NW 72 AVE, MIAMI, FL, 33166, US |
Mail Address: | 4995 NW 72 AVE, MIAMI, FL, 33166, US |
ZIP code: | 33166 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1841939758 | 2022-05-31 | 2022-12-22 | 1200 NW 78TH AVE STE 215, DORAL, FL, 331261890, US | 1200 NW 78TH AVE STE 215, DORAL, FL, 331261890, US | |||||||||||||||||||
|
Phone | +1 786-452-8963 |
Fax | 3056752727 |
Authorized person
Name | ILIANA CAMEJO |
Role | OWNER |
Phone | 7864528963 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | No |
Taxonomy Code | 207RN0300X - Nephrology Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CAMEJO ILIANA | Agent | 7860 WEST 4 LANE, HIALEAH, FL, 33014 |
Name | Role | Address |
---|---|---|
CAMEJO ILIANA | President | 4995 NW 72 AVE, MIAMI, FL, 33166 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-05-02 | 4995 NW 72 AVE, SUITE 201, MIAMI, FL 33166 | No data |
CHANGE OF MAILING ADDRESS | 2024-05-02 | 4995 NW 72 AVE, SUITE 201, MIAMI, FL 33166 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-26 |
ANNUAL REPORT | 2023-03-08 |
Domestic Profit | 2022-03-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State