| Entity Name: | EZ HEALTH MEDICAL GROUP PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 04 Sep 2024 (5 months ago) |
| Document Number: | P24000057187 |
| Address: | 1801 N.E. 123rd Street, suite 314, NORTH MIAMI, FL 33181 |
| Mail Address: | 1801 N.E. 123rd Street, suite 314, NORTH MIAMI, FL 33181 |
| ZIP code: | 33181 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790511442 | 2024-09-10 | 2024-09-10 | 6303 BLUE LAGOON DR STE 400, MIAMI, FL, 331266040, US | 6303 BLUE LAGOON DR STE 400, MIAMI, FL, 331266040, US | |||||||||||||
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| Phone | +1 385-327-2541 |
Authorized person
| Name | MR. NIKHIL JHUNJHNUWALA |
| Role | OPERATIONS ADMINISTRATOR |
| Phone | 9086981652 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| MORRISON, CHRISTOPHER A | President | 1801 N.E. 123RD STREET, SUITE 314 NORTH MIAMI, FL 33181 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-12-11 | 1801 N.E. 123rd Street, suite 314, NORTH MIAMI, FL 33181 | No data |
| CHANGE OF MAILING ADDRESS | 2024-12-11 | 1801 N.E. 123rd Street, suite 314, NORTH MIAMI, FL 33181 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-12-04 | 1791 NE 123RD STREET STE 314, NORTH MIAMI, FL 33181 | No data |
| CHANGE OF MAILING ADDRESS | 2024-12-04 | 1791 NE 123RD STREET STE 314, NORTH MIAMI, FL 33181 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-12-02 | NORTHWEST REGISTERED AGENT LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-12-02 | 7901 4TH ST N, STE 300, ST PETERSBURG, FL 33702 | No data |
| Name | Date |
|---|---|
| Reg. Agent Change | 2024-12-02 |
| Domestic Profit | 2024-09-04 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
