| Entity Name: | PLASENCIA & ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Jul 1996 (29 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 21 May 2015 (10 years ago) |
| Document Number: | P96000057218 |
| FEI/EIN Number | 650682506 |
| Address: | 10406 TAFT ST, PEMBROKE PINES, FL, 33026, US |
| Mail Address: | P. O. BOX 277535, MIRAMAR, FL, 33027 |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558411496 | 2007-01-11 | 2024-03-01 | PO BOX 277535, MIRAMAR, FL, 330277535, US | 10406 TAFT ST, PEMBROKE PINES, FL, 330262819, US | |||||||||||||||||||||||||
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| Phone | +1 954-436-3880 |
| Fax | 9544363881 |
Authorized person
| Name | DR. CARLOS EDUARDO PLASENCIA |
| Role | PRESIDENT |
| Phone | 9544363880 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008061900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PLASENCIA CARLOS E | Agent | 10406 TAFT ST, PEMBROKE PINES, FL, 33026 |
| Name | Role | Address |
|---|---|---|
| PLASENCIA CARLOS EDr. | President | 10406 TAFT ST, PEMBROKE PINES, FL, 33026 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000009435 | CENTER FOR COUNSELING & GUIDANCE | ACTIVE | 2014-01-27 | 2029-12-31 | No data | P.O. BOX 277535, MIRAMAR, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2015-05-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-05-21 | PLASENCIA, CARLOS E | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF MAILING ADDRESS | 1999-04-13 | 10406 TAFT ST, PEMBROKE PINES, FL 33026 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1997-04-04 | 10406 TAFT ST, PEMBROKE PINES, FL 33026 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1997-04-04 | 10406 TAFT ST, PEMBROKE PINES, FL 33026 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-22 |
| AMENDED ANNUAL REPORT | 2019-03-06 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-01-03 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-03-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
