| Entity Name: | FRONA P. ISRAEL, MSW, BBA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Dec 1997 (27 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 03 Nov 2003 (21 years ago) |
| Document Number: | P97000101135 |
| FEI/EIN Number | 650803882 |
| Address: | 20000 E COUNTRY CLUB DR, PH08, AVENTURA, FL, 33180, US |
| Mail Address: | 20000 E COUNTRY CLUB DR, PH08, AVENTURA, FL, 33180, US |
| ZIP code: | 33180 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316128887 | 2007-11-26 | 2017-05-24 | 2225 N. UNIVERSITY DRIVE, PEMBROKE PINES, FL, 330243661, US | 2225 N UNIVERSITY DR, PEMBROKE PINES, FL, 330243611, US | |||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-494-3555 |
| Fax | 9549625495 |
| Phone | +1 954-962-6200 |
Authorized person
| Name | FRONA P. ISRAEL |
| Role | PRESIDENT |
| Phone | 3054943555 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| License Number | SAP80608 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW5767 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 010080800 |
| State | FL |
| Issuer | MEDICARE PTAN |
| Number | K2841A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ISRAEL FRONA P | Agent | 20000 E COUNTRY CLUB DR, AVENTURA, FL, 33180 |
| Name | Role | Address |
|---|---|---|
| Israel Frona P | President | 20000 E COUNTRY CLUB DR, AVENTURA, FL, 33180 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-04 | 20000 E COUNTRY CLUB DR, PH08, AVENTURA, FL 33180 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-04 | 20000 E COUNTRY CLUB DR, PH08, AVENTURA, FL 33180 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-04 | 20000 E COUNTRY CLUB DR, PH08, AVENTURA, FL 33180 | No data |
| CANCEL ADM DISS/REV | 2003-11-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-02-19 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-01-07 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-02-25 |
| ANNUAL REPORT | 2016-03-06 |
| ANNUAL REPORT | 2015-04-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
