| Entity Name: | HILLSBORO ALLERGY & FAMILY MEDICINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 31 Jan 1994 (31 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 23 Oct 2020 (4 years ago) |
| Document Number: | P94000009740 |
| FEI/EIN Number | 65-0469946 |
| Address: | 220 SW NATURA AVE., DEERFIELD BEACH, FL 33441 |
| Mail Address: | 220 SW NATURA AVE., DEERFIELD BEACH, FL 33441 |
| ZIP code: | 33441 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770778516 | 2007-09-13 | 2024-05-31 | 220 SW NATURA AVE, DEERFIELD BEACH, FL, 334413026, US | 220 SW NATURA AVE, DEERFIELD BEACH, FL, 334413026, US | |||||||||||||||||||
|
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| Phone | +1 954-360-7000 |
| Fax | 9543607005 |
Authorized person
| Name | JESSICA CALIANDRO |
| Role | CREDENTIALING SPECIALIST |
| Phone | 9543607000 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| NICOLA L. ZAGAROLO & ASSOCIATES, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| HABLAK, MARGITA | Chief Executive Officer | 220 SW NATURA AVE., DEERFIELD BEACH, FL 33441 |
| Name | Role | Address |
|---|---|---|
| JOHN, HABLAK | Vice President | 220 SW NATURA AVE., DEERFIELD BEACH, FL 33441 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000138349 | HILLSBORO URGENT CARE | ACTIVE | 2020-10-26 | 2025-12-31 | No data | 220 SW NATURA AVE, DEERFIELD BEACH, FL, 33441 |
| G10000045228 | COCONUT CREEK URGENT CARE | EXPIRED | 2010-05-24 | 2015-12-31 | No data | 220 S.W. NATURA AVENUE, DEERFIELD BEACH, FL, 33441, US |
| G08168700122 | HILLSBORO URGENT CARE | EXPIRED | 2008-06-16 | 2013-12-31 | No data | 1861 WEST HILLSBORO BLVD, DEERFIELD BEACH, FL, 33442 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2020-10-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-10-23 | NICOLA L. ZAGAROLO & ASSOCIATES, P.A. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-10-23 | 3800 NE THIRD AVE, POMPANO BEACH, FL 33064 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-02-20 | 220 SW NATURA AVE., DEERFIELD BEACH, FL 33441 | No data |
| CHANGE OF MAILING ADDRESS | 2009-02-20 | 220 SW NATURA AVE., DEERFIELD BEACH, FL 33441 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-01-07 |
| ANNUAL REPORT | 2021-04-26 |
| Amendment | 2020-10-23 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-01-31 |
| ANNUAL REPORT | 2018-01-02 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
