| Entity Name: | ALEX GARCIA-PULIDO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 28 Feb 1989 (36 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | K70288 |
| FEI/EIN Number | 59-2936187 |
| Address: | 6216 ST AUGUSTINE RD, JACKSONVILLE, FL 32217 |
| Mail Address: | 6216 ST AUGUSTINE RD, JACKSONVILLE, FL 32217 |
| ZIP code: | 32217 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538438072 | 2011-12-28 | 2012-01-11 | 6216 SAINT AUGUSTINE RD, JACKSONVILLE, FL, 322172509, US | 6216 SAINT AUGUSTINE RD, JACKSONVILLE, FL, 322172509, US | |||||||||||||||||||||||||
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| Phone | +1 904-448-3884 |
| Fax | 9044483886 |
Authorized person
| Name | DR. ALEX GARCIA PULIDO |
| Role | PRESIDENT |
| Phone | 9044483884 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0051206 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 047276000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARCIA-PULIDO, ALEX | Agent | 6216 ST AUGUSTINE RD, JACKSONVILLE, FL 32217 |
| Name | Role | Address |
|---|---|---|
| GARCIA-PULIDO, ALEX | Director | 6216 ST AUGUSTINE RD, JACKSONVILLE, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2004-03-29 | GARCIA-PULIDO, ALEX | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1993-03-24 | 6216 ST AUGUSTINE RD, JACKSONVILLE, FL 32217 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1992-06-29 | 6216 ST AUGUSTINE RD, JACKSONVILLE, FL 32217 | No data |
| CHANGE OF MAILING ADDRESS | 1992-06-29 | 6216 ST AUGUSTINE RD, JACKSONVILLE, FL 32217 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-10 |
| ANNUAL REPORT | 2011-03-03 |
| ANNUAL REPORT | 2010-03-11 |
| ANNUAL REPORT | 2009-04-08 |
| ANNUAL REPORT | 2008-04-11 |
| ANNUAL REPORT | 2007-04-12 |
| ANNUAL REPORT | 2006-03-30 |
| ANNUAL REPORT | 2005-03-23 |
| ANNUAL REPORT | 2004-03-29 |
| ANNUAL REPORT | 2003-01-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
