| Entity Name: | ALVARO J OCAMPO MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Oct 2024 (3 months ago) |
| Document Number: | P24000064768 |
| Address: | 2 WEST DIXIE HWY, DANIA BEACH, FL 33004 |
| Mail Address: | 2 WEST DIXIE HWY, DANIA BEACH, FL 33004 |
| ZIP code: | 33004 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003912502 | 2006-09-15 | 2020-08-22 | 5961 SW 81ST ST, MIAMI, FL, 331438119, US | 735 NW 22ND AVE, SPACE B, MIAMI, FL, 331253339, US | |||||||||||||||||||||
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| Phone | +1 305-951-9010 |
| Phone | +1 305-324-7111 |
| Fax | 3053247117 |
Authorized person
| Name | ALVARO J OCAMPO |
| Role | PRESICENT |
| Phone | 3059519010 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | HCC5187 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| OCAMPO, ALVARO | Agent | 2 WEST DIXIE HWY, DANIA BEACH, FL 33004 |
| Name | Role | Address |
|---|---|---|
| OCAMPO, ALVARO | President | 2 WEST DIXIE HWY, DANIA BEACH, FL 33004 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-10-16 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
