| Entity Name: | JESUS S. RODRIGUEZ, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 Feb 1979 (46 years ago) |
| Date of dissolution: | 24 Apr 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 24 Apr 2018 (7 years ago) |
| Document Number: | 599631 |
| FEI/EIN Number | 59-1881709 |
| Address: | 142 E. 49 ST., HIALEAH, FL 33013 |
| Mail Address: | 142 E. 49 ST., HIALEAH, FL 33013 |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700157906 | 2012-01-19 | 2012-01-19 | 142 E 49TH ST, HIALEAH, FL, 330131853, US | 142 E 49TH ST, HIALEAH, FL, 330131853, US | |||||||||||||||||||||||||
|
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| Phone | +1 305-822-1993 |
| Fax | 3058263788 |
Authorized person
| Name | DR. JESUS SILVESTRE RODRIGUEZ |
| Role | PRESIDENT |
| Phone | 3058221993 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME0033464 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PROVIDER TRANSACTION NUMBER |
| Number | 73053 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, JESUS S, M.D. | Agent | 142 E. 49 ST., HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, JESUS S, M.D. | President | 142 E. 49 ST., HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, JESUS S, M.D. | Vice President | 142 E. 49 ST., HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, JESUS S, M.D. | Secretary | 142 E. 49 ST., HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, JESUS S, M.D. | Treasurer | 142 E. 49 ST., HIALEAH, FL 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-04-24 | No data | No data |
| REINSTATEMENT | 2017-05-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-05-10 | RODRIGUEZ, JESUS S, M.D. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2014-03-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| PENDING REINSTATEMENT | 2011-05-02 | No data | No data |
| REINSTATEMENT | 2011-05-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| REINSTATEMENT | 2003-01-27 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2018-04-24 |
| REINSTATEMENT | 2017-05-10 |
| ANNUAL REPORT | 2015-06-11 |
| REINSTATEMENT | 2014-03-18 |
| REINSTATEMENT | 2011-05-02 |
| REINSTATEMENT | 2003-01-27 |
| ANNUAL REPORT | 2001-06-02 |
| REINSTATEMENT | 2000-12-15 |
| ANNUAL REPORT | 1999-05-07 |
| ANNUAL REPORT | 1998-05-15 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
