| Entity Name: | WALLACE N. JENSEN, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Nov 1985 (39 years ago) |
| Document Number: | H86253 |
| FEI/EIN Number | 592600005 |
| Address: | 90 EDGEWATER DRIVE, CORAL GABLES, FL, 33133 |
| Mail Address: | 90 EDGEWATER DRIVE, CORAL GABLES, FL, 33133 |
| ZIP code: | 33133 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| JENSEN, WALLACE N. | Agent | 90 EDGEWATER DRIVE, CORAL GABLES, FL, 33133 |
| Name | Role | Address |
|---|---|---|
| JENSEN, WALLACE N. | Director | 90 EDGEWATER DRIVE, CORAL GABLES, FL |
| Name | Role | Address |
|---|---|---|
| JENSEN, WALLACE N. | President | 90 EDGEWATER DRIVE, CORAL GABLES, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1990-11-09 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
