| Entity Name: | GUIDO G. URIZAR, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 27 May 1982 (43 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | F87248 |
| FEI/EIN Number | 59-2192541 |
| Address: | 409 OAK TRAIL, LAKELAND, FL 33813 |
| Mail Address: | 409 OAK TRAIL, LAKELAND, FL 33813 |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770510265 | 2006-06-28 | 2020-08-22 | 9275 SW 152ND ST, VILLAGE OF PALMETTO BAY, FL, 331571701, US | 9275 SW 152ND ST, VILLAGE OF PALMETTO BAY, FL, 331571701, US | |||||||||||||||||
|
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| Phone | +1 305-232-0084 |
Authorized person
| Name | DR. GUIDO GROVER URIZAR |
| Role | MEDICAL DOCTOR |
| Phone | 3052320084 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME33432 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| URIZAR, GUIDO G, M.D. | Agent | 9275 SW 152 ST, SUITE 103, MIAMI, FL 33157 |
| Name | Role | Address |
|---|---|---|
| URIZAR, GUIDO GMD | President | 9299 S W 152 ST STE 103, MIAMI, FL 33157 |
| Name | Role | Address |
|---|---|---|
| URIZAR, GUIDO GMD | Secretary | 9299 S W 152 ST STE 103, MIAMI, FL 33157 |
| Name | Role | Address |
|---|---|---|
| URIZAR, GUIDO GMD | Director | 9299 S W 152 ST STE 103, MIAMI, FL 33157 |
| Name | Role | Address |
|---|---|---|
| URIZAR, EDMUNDO W | Vice President | 410 COSTANERA ROAD, CORAL GABLES, FL 33143 |
| FARMER, GEORGETTE | Vice President | 409 OAK TRAIL, LAKELAND, FL 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-05 | 409 OAK TRAIL, LAKELAND, FL 33813 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-05 | 409 OAK TRAIL, LAKELAND, FL 33813 | No data |
| AMENDMENT | 2013-11-20 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-02-16 | URIZAR, GUIDO G, M.D. | No data |
| CANCEL ADM DISS/REV | 2004-11-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| REINSTATEMENT | 2003-10-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-11-06 | 9275 SW 152 ST, SUITE 103, MIAMI, FL 33157 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-02-27 |
| Amendment | 2013-11-20 |
| ANNUAL REPORT | 2013-01-29 |
| ANNUAL REPORT | 2012-03-02 |
| ANNUAL REPORT | 2011-02-16 |
| ANNUAL REPORT | 2010-01-14 |
| ANNUAL REPORT | 2009-01-27 |
| ANNUAL REPORT | 2008-01-15 |
| ANNUAL REPORT | 2007-03-06 |
| ANNUAL REPORT | 2006-07-09 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
