| Entity Name: | ANTONIO G. REVILLA JR., M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ANTONIO G. REVILLA JR., M.D., P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 01 Jul 1975 (50 years ago) |
| Date of dissolution: | 28 Sep 2012 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (13 years ago) |
| Document Number: | 479904 |
| FEI/EIN Number |
591616573
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1880 EAST COMMERCIAL BLVD., SUITE 3, FT LAUDERDALE, FL, 33308, US |
| Mail Address: | 1880 EAST COMMERCIAL BLVD., SUITE 3, FT LAUDERDALE, FL, 33308, US |
| ZIP code: | 33308 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548532088 | 2012-01-30 | 2012-02-17 | 1880 E COMMERCIAL BLVD, SUITE 3, FORT LAUDERDALE, FL, 333083747, US | 1880 E COMMERCIAL BLVD, SUITE 3, FORT LAUDERDALE, FL, 333083747, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 954-772-0949 |
| Fax | 9547720957 |
Authorized person
| Name | DR. ANTONIO G. REVILLA JR. |
| Role | PRESIDENT |
| Phone | 9547720949 |
Taxonomy
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| License Number | ME0021737 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | ME0021737 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| REVILLA, ANTONIO G JR | President | 1880 E COMMERCIAL BLVD STE 3, FORT LAUDERDALE, FL, 33308 |
| REVILLA, ANTONIO G JR | Director | 1880 E COMMERCIAL BLVD STE 3, FORT LAUDERDALE, FL, 33308 |
| REVILLA, ANTONIO G JR MD | Agent | 1880 EAST COMMERCIAL BLVD STE 3, FT. LAUDERDALE, FL, 33308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | - | - |
| CHANGE OF MAILING ADDRESS | 2011-03-02 | 1880 EAST COMMERCIAL BLVD., SUITE 3, FT LAUDERDALE, FL 33308 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-02 | 1880 EAST COMMERCIAL BLVD., SUITE 3, FT LAUDERDALE, FL 33308 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2010-02-02 | 1880 EAST COMMERCIAL BLVD STE 3, FT. LAUDERDALE, FL 33308 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-03-02 |
| ANNUAL REPORT | 2010-02-02 |
| ANNUAL REPORT | 2009-02-24 |
| ANNUAL REPORT | 2008-01-23 |
| ANNUAL REPORT | 2007-01-16 |
| ANNUAL REPORT | 2006-03-31 |
| ANNUAL REPORT | 2005-03-28 |
| ANNUAL REPORT | 2004-04-29 |
| ANNUAL REPORT | 2003-03-21 |
| ANNUAL REPORT | 2002-03-25 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
