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GLORIA LOPEZ, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: GLORIA LOPEZ, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 17 Feb 1982 (44 years ago)
Document Number: F67696
FEI/EIN Number 592163674
Address: 747 PONCE DE LEON BLVD., SUITE 603, CORAL GABLES, FL, 33134, US
Mail Address: 747 PONCE DE LEON BLVD., SUITE 603, CORAL GABLES, FL, 33134, US
ZIP code: 33134
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Lopez Gloria Director 10920 SW 136 CT, MIAMI, FL, 33186
Lopez Gloria President 10920 SW 136 CT, MIAMI, FL, 33186
LOPEZ, GLORIA, MD Agent 10920 SW 136 CT, MIAMI, FL, 33186

National Provider Identifier

NPI Number:
1366814568

Authorized Person:

Name:
GLORIA LOPEZ
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
3052903180

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2022-04-25 10920 SW 136 CT, MIAMI, FL 33186 -
CHANGE OF PRINCIPAL ADDRESS 2014-04-18 747 PONCE DE LEON BLVD., SUITE 603, CORAL GABLES, FL 33134 -
CHANGE OF MAILING ADDRESS 2014-04-18 747 PONCE DE LEON BLVD., SUITE 603, CORAL GABLES, FL 33134 -

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-02-13
ANNUAL REPORT 2022-04-25
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-06-22
ANNUAL REPORT 2019-04-26
ANNUAL REPORT 2018-04-20
ANNUAL REPORT 2017-02-13
ANNUAL REPORT 2016-04-01
ANNUAL REPORT 2015-04-23

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Date of last update: 02 Aug 2025

Sources: Florida Department of State