| Entity Name: | DESALY MONTILLA, M.D., LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 Sep 2003 (21 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L03000034461 |
| FEI/EIN Number | 200246417 |
| Address: | 8525 SW 92 ST., STE. B-4, MIAMI, FL, 33156 |
| Mail Address: | 8525 SW 92 ST., STE. B-4, MIAMI, FL, 33156 |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295084127 | 2012-09-06 | 2012-09-06 | 8525 SW 92ND ST, SUITE B-4, MIAMI, FL, 331567365, US | 8525 SW 92ND ST, SUITE B-4, MIAMI, FL, 331567365, US | |||||||||||||||||||
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| Phone | +1 305-279-7446 |
| Fax | 3055988753 |
Authorized person
| Name | DR. DESALY M GONZALEZ |
| Role | MANAGER |
| Phone | 3052797446 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME39089 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GONZALEZ DESALY M | Agent | 8525 SW 92 STREET, MIAMI, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ DESALY M | Manager | 8525 SW 92 STREET SUITE B4, MIAMI, FL, 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2012-03-26 | GONZALEZ, DESALY M | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-03-26 | 8525 SW 92 STREET, SUITE B4, MIAMI, FL 33156 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-04-03 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-02-27 |
| ANNUAL REPORT | 2013-04-13 |
| ANNUAL REPORT | 2012-03-26 |
| ANNUAL REPORT | 2011-04-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
