Entity Name: | ALICIA GONZALEZ ARNP-BC CORP |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 23 May 2022 (3 years ago) |
Document Number: | P22000042855 |
FEI/EIN Number | 88-2610623 |
Address: | 18930 SW 311TH ST, HOMESTEAD, FL 33030 |
Mail Address: | 18930 SW 311TH ST, HOMESTEAD, FL 33030 |
ZIP code: | 33030 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1538853494 | 2023-06-05 | 2023-06-05 | 18930 SW 311TH ST, HOMESTEAD, FL, 330303845, US | 911 N CENTRAL AVE, KISSIMMEE, FL, 347415029, US | |||||||||||||||||
|
Phone | +1 786-547-1280 |
Phone | +1 866-870-0148 |
Fax | 4073863428 |
Authorized person
Name | ALICIA GONZALEZ |
Role | PRESIDENT |
Phone | 7865471280 |
Taxonomy
Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GONZALEZ, ALICIA | Agent | 18930 SW 311TH ST, HOMESTEAD, FL 33030 |
Name | Role | Address |
---|---|---|
GONZALEZ, ALICIA | President | 18930 SW 311TH ST, MIAMI, FL 33030 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G23000092617 | CHOICE ONE FAMILY MEDICINE | ACTIVE | 2023-08-08 | 2028-12-31 | No data | 18930 SW 311TH ST, MIAMI, FL, 33030 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-08 |
ANNUAL REPORT | 2023-04-18 |
Domestic Profit | 2022-05-23 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State