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MARSHALL, AMAYA & ANTON, P.L.

Company Details

Entity Name: MARSHALL, AMAYA & ANTON, P.L.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 07 Oct 2003 (21 years ago)
Date of dissolution: 16 Feb 2016 (9 years ago)
Last Event: LC VOLUNTARY DISSOLUTION
Event Date Filed: 16 Feb 2016 (9 years ago)
Document Number: L03000039444
FEI/EIN Number 571194699
Address: 3629 PALMETTO AVENUE, MIAMI, FL, 33133, US
Mail Address: 3629 PALMETTO AVENUE, MIAMI, FL, 33133, US
ZIP code: 33133
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1669419529 2006-06-01 2010-07-07 5901 SW 74TH ST, SUITE 202, MIAMI, FL, 331435165, US 3663 S MIAMI AVE, MIAMI, FL, 331334253, US

Contacts

Phone +1 305-665-4614
Fax 3056670239
Phone +1 305-854-4400

Authorized person

Name DR. XAVIER ANTON
Role PRESIDENT
Phone 3058544400

Taxonomy

Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes
Taxonomy Code 363A00000X - Physician Assistant
Is Primary No
Taxonomy Code 363L00000X - Nurse Practitioner
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 274200400
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARSHALL, AMAYA & ANTON, PL EMPLOYEES' 401(K) PLAN 2012 571194699 2013-02-22 MARSHALL, AMAYA & ANTON, P.L. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-10-01
Business code 621111
Sponsor’s telephone number 3054613348
Plan sponsor’s address 3629 PALMETTO AVENUE, MIAMI, FL, 33133

Plan administrator’s name and address

Administrator’s EIN 571194699
Plan administrator’s name MARSHALL, AMAYA & ANTON, P.L.
Plan administrator’s address 3618 PALMETTO AVENUE, MIAMI, FL, 33133
Administrator’s telephone number 3054613348

Signature of

Role Plan administrator
Date 2013-02-22
Name of individual signing XAVIER ANTON
Valid signature Filed with authorized/valid electronic signature
MARSHALL, AMAYA & ANTON, PL EMPLOYEES' 401(K) PLAN 2012 571194699 2013-02-21 MARSHALL, AMAYA & ANTON, P.L. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-10-01
Business code 621111
Sponsor’s telephone number 3054613348
Plan sponsor’s address 3629 PALMETTO AVENUE, MIAMI, FL, 33133

Plan administrator’s name and address

Administrator’s EIN 571194699
Plan administrator’s name MARSHALL, AMAYA & ANTON, P.L.
Plan administrator’s address 3618 PALMETTO AVENUE, MIAMI, FL, 33133
Administrator’s telephone number 3054613348

Signature of

Role Plan administrator
Date 2013-02-21
Name of individual signing XAVIER ANTON
Valid signature Filed with authorized/valid electronic signature
MARSHALL, AMAYA & ANTON, PL EMPLOYEES' 401(K) PLAN 2011 571194699 2012-07-18 MARSHALL, AMAYA & ANTON, P.L. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-10-01
Business code 621111
Sponsor’s telephone number 3054445495
Plan sponsor’s address 3618 PALMETTO AVENUE, MIAMI, FL, 33133

Plan administrator’s name and address

Administrator’s EIN 571194699
Plan administrator’s name MARSHALL, AMAYA & ANTON, P.L.
Plan administrator’s address 3618 PALMETTO AVENUE, MIAMI, FL, 33133
Administrator’s telephone number 3052852171

Signature of

Role Plan administrator
Date 2012-07-18
Name of individual signing XAVIER ANTON
Valid signature Filed with authorized/valid electronic signature
MARSHALL, AMAYA & ANTON, PL EMPLOYEES' 401(K) PLAN 2010 571194699 2011-08-08 MARSHALL, AMAYA & ANTON, P.L. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-10-01
Business code 621111
Sponsor’s telephone number 3054445495
Plan sponsor’s address 3618 PALMETTO AVENUE, MIAMI, FL, 33133

Plan administrator’s name and address

Administrator’s EIN 571194699
Plan administrator’s name MARSHALL, AMAYA & ANTON, P.L.
Plan administrator’s address 3618 PALMETTO AVENUE, MIAMI, FL, 33133
Administrator’s telephone number 3052852171

Signature of

Role Plan administrator
Date 2011-08-08
Name of individual signing XAVIER ANTON
Valid signature Filed with authorized/valid electronic signature
MARSHALL, AMAYA & ANTON, PL EMPLOYEES' 401(K) PLAN 2009 571194699 2011-08-08 MARSHALL, AMAYA & ANTON, P.L. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-10-01
Business code 621111
Sponsor’s telephone number 3054445495
Plan sponsor’s address 3618 PALMETTO AVENUE, MIAMI, FL, 33133

Plan administrator’s name and address

Administrator’s EIN 571194699
Plan administrator’s name MARSHALL, AMAYA & ANTON, P.L.
Plan administrator’s address 3618 PALMETTO AVENUE, MIAMI, FL, 33133
Administrator’s telephone number 3052852171

Signature of

Role Plan administrator
Date 2011-08-08
Name of individual signing XAVIER ANTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BOUE LUIS CPA Agent C/O COLBERT BOUE & JUNCADELLA, LLP, CORAL GABLES, FL, 33134

Managing Member

Name Role Address
MARSHALL JOHN Managing Member 106 HORSEHEAD POINT ROAD, VERMONTVILLE, NY, 12989
AMAYA JORGE Managing Member 6825 SW 59TH ST, MIAMI, FL, 33143
ANTON XAVIER Managing Member 3629 PALMETTO AVENUE, COCONUT GROVE, FL, 33133

Events

Event Type Filed Date Value Description
LC VOLUNTARY DISSOLUTION 2016-02-16 No data No data
CHANGE OF PRINCIPAL ADDRESS 2013-02-11 3629 PALMETTO AVENUE, MIAMI, FL 33133 No data
CHANGE OF MAILING ADDRESS 2013-02-11 3629 PALMETTO AVENUE, MIAMI, FL 33133 No data
REGISTERED AGENT NAME CHANGED 2013-02-11 BOUE, LUIS, CPA No data
REGISTERED AGENT ADDRESS CHANGED 2012-07-16 C/O COLBERT BOUE & JUNCADELLA, LLP, 3001 PONCE DE LEON BLVD. SUITE 211, CORAL GABLES, FL 33134 No data

Documents

Name Date
LC Voluntary Dissolution 2016-02-16
ANNUAL REPORT 2015-02-17
ANNUAL REPORT 2014-01-09
ANNUAL REPORT 2013-02-11
Reg. Agent Change 2012-07-16
ANNUAL REPORT 2012-02-22
ANNUAL REPORT 2011-02-17
ANNUAL REPORT 2010-02-17
ANNUAL REPORT 2009-02-16
ANNUAL REPORT 2008-03-20

Date of last update: 02 Feb 2025

Sources: Florida Department of State