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PHENIX NURSING CARE INC

Company Details

Entity Name: PHENIX NURSING CARE INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 15 Feb 2023 (2 years ago)
Document Number: P23000014200
FEI/EIN Number 92-2548332
Address: 5951 NW 173 DRIVE UNIT 3B, HIALEAH, FL 33015
Mail Address: 5951 NW 173 DRIVE UNIT 3B, HIALEAH, FL 33015
ZIP code: 33015
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043909096 2023-05-04 2023-05-04 5951 NW 173RD DR UNIT 3B, HIALEAH, FL, 330155126, US 5951 NW 173RD DR UNIT 3B, HIALEAH, FL, 330155126, US

Contacts

Phone +1 786-345-6505
Fax 7862280053

Authorized person

Name NEFER MEDINA
Role ADMINISTRATOR/PRESIDENT
Phone 7863456505

Taxonomy

Taxonomy Code 3747A0650X - Attendant Care Provider
Is Primary Yes

Agent

Name Role Address
MEDINA, NEFER Agent 5841 W 20 LANE, HIALEAH, FL 33016

President

Name Role Address
MEDINA, NEFER President 5841 W 20 LANE, HIALEAH, FL 33016

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-06-20 5951 NW 173 DRIVE UNIT 3B, HIALEAH, FL 33015 No data
CHANGE OF PRINCIPAL ADDRESS 2023-06-15 5951 NW 173 DRIVE UNIT 3B, HIALEAH, FL 33015 No data

Documents

Name Date
ANNUAL REPORT 2024-02-02
Domestic Profit 2023-02-15

Date of last update: 10 Feb 2025

Sources: Florida Department of State