| Entity Name: | LILIANNE SOBRADO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Jul 1989 (36 years ago) |
| Date of dissolution: | 20 Apr 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Apr 2015 (10 years ago) |
| Document Number: | L05096 |
| FEI/EIN Number | 65-0289041 |
| Address: | 8525 SW 92 ST, D-17, MIAMI, FL 33156 |
| Mail Address: | 8525 SW 92 ST, D-17, MIAMI, FL 33156 |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114176286 | 2008-09-15 | 2009-03-09 | 8525 SW 92ND ST, SUITE D 17, MIAMI, FL, 331567365, US | 8525 SW 92ND ST, SUITE D 17, MIAMI, FL, 331567365, US | |||||||||||||||||||||||||
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| Phone | +1 305-270-0402 |
| Fax | 3055956179 |
Authorized person
| Name | DR. LILIANNE SOBRADO |
| Role | PRESIDENT |
| Phone | 3052700402 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| License Number | ME0056370 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 256035600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WARD, DAMON, POSNER, PHETERSON, & BLEAU | Agent | 4420 BEACON CIRCLE, SUITE 100, WEST PALM BEACH, FL 33407 |
| Name | Role | Address |
|---|---|---|
| SOBRADO, LILIANNE | Treasurer | 8525 SW 92ST D-17, MIAMI, FL 33156 |
| Name | Role | Address |
|---|---|---|
| SOBRADO, LILIANNE | Director | 8525 SW 92ST D-17, MIAMI, FL 33156 |
| Name | Role | Address |
|---|---|---|
| SOBRADO, LILIANNE | President | 8525 SW 92ST D-17, MIAMI, FL 33156 |
| Name | Role | Address |
|---|---|---|
| SOBRADO, LILIANNE | Secretary | 8525 SW 92ST D-17, MIAMI, FL 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-04-20 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-03-16 | 4420 BEACON CIRCLE, SUITE 100, WEST PALM BEACH, FL 33407 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-03-16 | WARD, DAMON, POSNER, PHETERSON, & BLEAU | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1995-01-31 | 8525 SW 92 ST, D-17, MIAMI, FL 33156 | No data |
| CHANGE OF MAILING ADDRESS | 1995-01-31 | 8525 SW 92 ST, D-17, MIAMI, FL 33156 | No data |
| REINSTATEMENT | 1991-12-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1990-11-09 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-04-20 |
| ANNUAL REPORT | 2014-02-17 |
| ANNUAL REPORT | 2013-02-03 |
| ANNUAL REPORT | 2012-03-19 |
| ANNUAL REPORT | 2011-03-04 |
| ANNUAL REPORT | 2010-03-16 |
| ANNUAL REPORT | 2009-02-02 |
| ANNUAL REPORT | 2008-02-21 |
| ANNUAL REPORT | 2007-01-18 |
| ANNUAL REPORT | 2006-03-16 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
