| Entity Name: | NILZA KALLOS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Jan 1977 (48 years ago) |
| Document Number: | 521861 |
| FEI/EIN Number | 591716858 |
| Address: | 10 EDGEWATER DRIVE, Coral Gables, FL, 33133, US |
| Mail Address: | 10 EDGEWATER DRIVE, CORAL GABLES, FL, 33133, US |
| ZIP code: | 33133 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407908908 | 2007-01-17 | 2012-09-25 | 7000 S.W. 62 AVE., PENTHOUSE A, MIAMI, FL, 331434721, US | 7000 S.W. 62 AVE., PENTHOUSE A, MIAMI, FL, 331434721, US | |||||||||||||||||||
|
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| Phone | +1 305-665-2223 |
| Fax | 3056636783 |
Authorized person
| Name | NILZA KALLOS |
| Role | OWNER |
| Phone | 3056652223 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 2085U0001X - Diagnostic Ultrasound Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SACHER, CHARLES P. | Agent | 2655 LEJUNE ROAD, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| KALLOS, NILZA P.L. | President | 10 EDGEWATER DR. 7D, CORAL GABLES, FL, 33133 |
| Name | Role | Address |
|---|---|---|
| KALLOS, NILZA P.L. | Treasurer | 10 EDGEWATER DR. 7D, CORAL GABLES, FL, 33133 |
| Name | Role | Address |
|---|---|---|
| KALLOS, TAMAS | Secretary | 10 EDGEWATER DR. 7D, CORAL GABLES, FL, 33133 |
| Name | Role | Address |
|---|---|---|
| KALLOS, TAMAS | Director | 10 EDGEWATER DR. 7D, CORAL GABLES, FL, 33133 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08151700040 | BREAST HEALTH CENTER AND DIAGNOSTIC ULTRASOUND | EXPIRED | 2008-05-30 | 2013-12-31 | No data | 6280 SW 72 STREET, SUITE 603, MIAMI, FL, 33143 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| NAME CHANGE AMENDMENT | 2008-05-29 | NILZA KALLOS, M.D., P.A. | No data |
| NAME CHANGE AMENDMENT | 1992-12-28 | KALLOS & CARRETERO, M.D., P.A. | No data |
| NAME CHANGE AMENDMENT | 1986-07-18 | NILZA KALLOS, M.D., P.A. | No data |
| NAME CHANGE AMENDMENT | 1984-04-13 | KALLOS & CARRETERO, M.D., P.A. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
