| Entity Name: | PROSPERITY FAMILY MEDICAL GROUP CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 24 Apr 2023 (2 years ago) |
| Document Number: | P23000032062 |
| FEI/EIN Number | 92-3645523 |
| Mail Address: | 225 SONOMA ISLES CIR, JUPITER, FL 33478 |
| Address: | 11380 PROSPERITY FARMS RD, SUITE # 215, PALM BEACH GARDENS, FL 33410 |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932883774 | 2023-06-12 | 2023-06-12 | 225 SONOMA ISLES CIR, JUPITER, FL, 334785494, US | 11380 PROSPERITY FARMS RD STE 215, PALM BEACH GARDENS, FL, 334103465, US | |||||||||||||||||
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| Phone | +1 786-597-3223 |
| Fax | 5617940457 |
| Phone | +1 561-794-0456 |
Authorized person
| Name | HECTOR NARANJO LOPEZ |
| Role | PRESIDENT |
| Phone | 7865973223 |
Taxonomy
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NARANJO-LOPEZ, HECTOR | Agent | 225 SONOMA ISLES CIR, JUPITER, FL 33478 |
| Name | Role | Address |
|---|---|---|
| NARANJO-LOPEZ, HECTOR | President | 225 SONOMA ISLES CIR, JUPITER, FL 33478 |
| Name | Role | Address |
|---|---|---|
| NARANJO-LOPEZ, HECTOR | Treasurer | 225 SONOMA ISLES CIR, JUPITER, FL 33478 |
| Name | Role | Address |
|---|---|---|
| NARANJO-LOPEZ, HECTOR | Secretary | 225 SONOMA ISLES CIR, JUPITER, FL 33478 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| Domestic Profit | 2023-04-24 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
