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ARCENIO CHACON, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: ARCENIO CHACON, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 Aug 1993 (32 years ago)
Document Number: P93000060170
FEI/EIN Number 65-0435406
Address: 5790 SW 91 St, MIAMI, FL, 33156, US
Mail Address: P.O. BOX 565580, MIAMI, FL, 33256
ZIP code: 33156
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
CHACON ARCENIO M Director 5790 SW 91 St, MIAMI, FL, 33156
CHACON ARCENIO M Agent 5790 SW 91 St, MIAMI, FL, 33156

National Provider Identifier

NPI Number:
1255493375

Authorized Person:

Name:
ARCENIO CHACON III
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2080P0203X - Pediatric Critical Care Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7862758403

Form 5500 Series

Employer Identification Number (EIN):
650435406
Plan Year:
2019
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
6
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-01-15 5790 SW 91 St, MIAMI, FL 33156 -
REGISTERED AGENT ADDRESS CHANGED 2014-01-15 5790 SW 91 St, MIAMI, FL 33156 -
CHANGE OF MAILING ADDRESS 2003-04-10 5790 SW 91 St, MIAMI, FL 33156 -

Documents

Name Date
ANNUAL REPORT 2025-01-16
ANNUAL REPORT 2024-01-28
ANNUAL REPORT 2023-02-02
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-03-01
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-01-27
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-02-04

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Date of last update: 01 Aug 2025

Sources: Florida Department of State