| Entity Name: | PROSPER MEDICAL OFFICE CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 May 2024 (9 months ago) |
| Document Number: | P24000034298 |
| Address: | 1150 NW 72 AVENUE,SUITE 377, MIAMI, FL, 33126, US |
| Mail Address: | 1150 NW 72 AVENUE,SUITE 377, MIAMI, FL, 33126, US |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396585774 | 2024-05-31 | 2024-08-14 | 1150 NW 72ND AVE STE 377, MIAMI, FL, 331261920, US | 1150 NW 72ND AVE STE 377, MIAMI, FL, 331261920, US | |||||||||||||||||||||||||
|
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| Phone | +1 305-457-0444 |
Authorized person
| Name | MR. RUBEN GONZALEZ |
| Role | PRESIDENT |
| Phone | 3054570444 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 225200000X - Physical Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GONZALEZ RUBEN | Agent | 1150 NW 72 AVENUE,SUITE 377, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ RUBEN | President | 1150 NW 72 AVENUE,SUITE 377, MIAMI, FL, 33126 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-05-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
