| Entity Name: | JOSE F. LANDA M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 20 Jun 1980 (45 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | 675994 |
| FEI/EIN Number | 59-2011662 |
| Address: | 620 S.W. LEJEUNE RD., MIAMI, FL 33134 |
| Mail Address: | 620 S.W. LEJEUNE RD., MIAMI, FL 33134 |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255778320 | 2013-05-30 | 2013-05-30 | 620 SW 42ND AVE, CORAL GABLES, FL, 331341912, US | 620 SW 42ND AVE, CORAL GABLES, FL, 331341912, US | |||||||||||||||||||||||||
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| Phone | +1 305-444-1411 |
| Fax | 3054484558 |
Authorized person
| Name | DR. JOSE FRANCISCO LANDA |
| Role | PRESIDENT |
| Phone | 3054441411 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME15208 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PROVIDER |
| Number | 71458 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LANDA, MARIA T | Agent | 1911 SW 135TH AVENUE, MIAMI, FL 33175 |
| Name | Role | Address |
|---|---|---|
| LANDA, JOSE F | President | 1911 SW 135 AVE, MIAMI, FL 33175 |
| Name | Role | Address |
|---|---|---|
| LANDA, JOSE F | Director | 1911 SW 135 AVE, MIAMI, FL 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2010-11-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CANCEL ADM DISS/REV | 2009-10-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-07-16 | 1911 SW 135TH AVENUE, MIAMI, FL 33175 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-03-22 | LANDA, MARIA T | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1986-04-03 | 620 S.W. LEJEUNE RD., MIAMI, FL 33134 | No data |
| CHANGE OF MAILING ADDRESS | 1986-04-03 | 620 S.W. LEJEUNE RD., MIAMI, FL 33134 | No data |
| REINSTATEMENT | 1983-12-09 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-01-29 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-08-15 |
| ANNUAL REPORT | 2014-01-29 |
| ANNUAL REPORT | 2013-03-21 |
| ANNUAL REPORT | 2012-01-03 |
| ANNUAL REPORT | 2011-03-10 |
| REINSTATEMENT | 2010-11-29 |
| REINSTATEMENT | 2009-10-09 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
