| Entity Name: | FRANCISCO BAUTISTA MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 Oct 2004 (20 years ago) |
| Date of dissolution: | 30 Apr 2012 (13 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Apr 2012 (13 years ago) |
| Document Number: | L04000075978 |
| FEI/EIN Number | 201831691 |
| Address: | 35 WEST 36 ST., MIAMI, FL, 33135 |
| Mail Address: | 10258 S.W. 16TH STREET, PEMBROKE PINES, FL, 33025 |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801095443 | 2007-07-13 | 2010-04-14 | 10258 SW 16TH STREET, PEMBROKE PINES, FL, 33025, US | 7376 NW 35TH TER, MIAMI, FL, 331221241, US | |||||||||||||||
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| Phone | +1 305-471-7711 |
| Fax | 3054719577 |
Authorized person
| Name | DR. FRANCISCO M BAUTISTA |
| Role | MEMBER MANEGER |
| Phone | 9545912040 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BAUTISTA FRANCISCO | Agent | 10258 S.W. 16TH STREET, PEMBROKE PINES, FL, 33025 |
| Name | Role | Address |
|---|---|---|
| BAUTISTA FRANCISCO | Managing Member | 10258 S.W. 16TH STREET, PEMBROKE PINES, FL, 33025 |
| BAUTISTA NORMA A | Managing Member | 10258 S.W. 16TH STREET, PEMBROKE PINES, FL, 33025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2012-04-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-06-22 | 35 WEST 36 ST., MIAMI, FL 33135 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2012-04-30 |
| ANNUAL REPORT | 2011-02-15 |
| ANNUAL REPORT | 2010-04-12 |
| ANNUAL REPORT | 2009-04-28 |
| ANNUAL REPORT | 2008-04-05 |
| ANNUAL REPORT | 2007-04-24 |
| ANNUAL REPORT | 2006-01-27 |
| ANNUAL REPORT | 2005-01-14 |
| Florida Limited Liabilites | 2004-10-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
