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DR. ALFONSO OLIVOS, P.A.

Company Details

Entity Name: DR. ALFONSO OLIVOS, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 01 Jun 1987 (38 years ago)
Date of dissolution: 28 Sep 2018 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 28 Sep 2018 (6 years ago)
Document Number: J75786
FEI/EIN Number 59-2816031
Address: 873 101ST AVENUE NORTH, NAPLES, FL 34108
Mail Address: 5548 Foxhunt Way, NAPLES, FL 34104
ZIP code: 34108
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750651220 2011-12-30 2011-12-30 5548 FOXHUNT WAY, NAPLES, FL, 34104, US 873 101 AVENUE N., NAPLES, FL, 34108, US

Contacts

Phone +1 239-592-5554
Fax 2395926537

Authorized person

Name ALFONSO OLIVOS
Role OWNER
Phone 2395925554

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME22900
State FL
Is Primary Yes

Agent

Name Role Address
Olivos, Alfonso Agent 5548 Foxhunt Way, NAPLES, FL 34104

Director

Name Role Address
Olivos, Alfonso Director 5548 Foxhunt Way, NAPLES, FL 34104

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
REGISTERED AGENT ADDRESS CHANGED 2016-09-27 5548 Foxhunt Way, NAPLES, FL 34104 No data
REINSTATEMENT 2016-09-27 No data No data
CHANGE OF MAILING ADDRESS 2016-09-27 873 101ST AVENUE NORTH, NAPLES, FL 34108 No data
REGISTERED AGENT NAME CHANGED 2016-09-27 Olivos, Alfonso No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data
CHANGE OF PRINCIPAL ADDRESS 1999-02-23 873 101ST AVENUE NORTH, NAPLES, FL 34108 No data

Documents

Name Date
ANNUAL REPORT 2017-03-23
REINSTATEMENT 2016-09-27
ANNUAL REPORT 2005-02-03
ANNUAL REPORT 2004-01-23
ANNUAL REPORT 2003-01-07
ANNUAL REPORT 2002-01-14
ANNUAL REPORT 2001-01-08
ANNUAL REPORT 2000-01-18
ANNUAL REPORT 1999-02-23
ANNUAL REPORT 1998-01-20

Date of last update: 04 Feb 2025

Sources: Florida Department of State