| Entity Name: | MEDIZON MEDICAL GROUP CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Aug 2023 (a year ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 16 Oct 2023 (a year ago) |
| Document Number: | P23000062806 |
| FEI/EIN Number | 93-3178881 |
| Address: | 1235 N KROME AVE, HOMESTEAD, FL, 33030 |
| Mail Address: | 1235 N KROME AVE, HOMESTEAD, FL, 33030 |
| ZIP code: | 33030 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205614708 | 2023-09-18 | 2023-12-20 | 1235 N KROME AVE, HOMESTEAD, FL, 330304204, US | 1235 N KROME AVE, HOMESTEAD, FL, 330304204, US | |||||||||||||||
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| Phone | +1 786-224-6000 |
| Fax | 7866502923 |
Authorized person
| Name | DR. ILIANA HERNANDEZ |
| Role | PRESIDENT |
| Phone | 7862246000 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOREIRA GOMEZ LAZARO | Agent | 1235 N KROME AVE, HOMESTEAD, FL, 33030 |
| Name | Role | Address |
|---|---|---|
| MOREIRA GOMEZ LAZARO | President | 1235 N KROME AVE, HOMESTEAD, FL, 33030 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-16 | MOREIRA GOMEZ, LAZARO | No data |
| AMENDMENT | 2023-10-16 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-10-16 | 1235 N KROME AVE, HOMESTEAD, FL 33030 | No data |
| AMENDMENT | 2023-09-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-13 | 1235 N KROME AVE, HOMESTEAD, FL 33030 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-13 | 1235 N KROME AVE, HOMESTEAD, FL 33030 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| Amendment | 2023-10-16 |
| Amendment | 2023-09-13 |
| Domestic Profit | 2023-08-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
