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ALICIA GONZALEZ ARNP-BC CORP

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
GONZALEZ, ALICIA Agent 18930 SW 311TH ST, HOMESTEAD, FL 33030

President

Name Role Address
GONZALEZ, ALICIA President 18930 SW 311TH ST, MIAMI, FL 33030

Fictitious Names

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

Documents

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