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DANIEL JOSE FERNANDEZ MD PA

Company Details

Entity Name: DANIEL JOSE FERNANDEZ MD PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 02 Aug 1989 (36 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L06176
FEI/EIN Number 65-0152891
Address: 7801 CORAL WAY, SUITE 114, MIAMI, FL 33155
Mail Address: 2475 BRICKELL AVE, SPT PH5, MIAMI, FL 33129
ZIP code: 33155
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164875381 2016-07-22 2016-07-22 7801 CORAL WAY, SUITE 114, MIAMI, FL, 331556538, US 7801 CORAL WAY, SUITE 114, MIAMI, FL, 331556538, US

Contacts

Phone +1 786-558-8073
Fax 7865588190

Authorized person

Name DR. DANIEL JOSE FERNANDEZ
Role PRESIDENT
Phone 7865588073

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
License Number ME38850
State FL
Is Primary Yes

Agent

Name Role Address
FERNANDEZ, DANIEL J, MD Agent 2475 BRICKELL AVE., APT PH5, MIAMI, FL 33129

President

Name Role Address
FERNANDEZ, DANIEL JOSE President 2475 BRICKELL AVE., APT PH5, MIAMI, FL 33129

Treasurer

Name Role Address
FERNANDEZ, DANIEL JOSE Treasurer 2475 BRICKELL AVE., APT PH5, MIAMI, FL 33129

Secretary

Name Role Address
FERNANDEZ, DANIEL JOSE Secretary 2475 BRICKELL AVE., APT PH5, MIAMI, FL 33129

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
AMENDMENT AND NAME CHANGE 2016-07-20 DANIEL JOSE FERNANDEZ MD PA No data
CHANGE OF PRINCIPAL ADDRESS 2016-07-20 7801 CORAL WAY, SUITE 114, MIAMI, FL 33155 No data
CHANGE OF MAILING ADDRESS 2016-07-20 7801 CORAL WAY, SUITE 114, MIAMI, FL 33155 No data
REGISTERED AGENT NAME CHANGED 2016-07-20 FERNANDEZ, DANIEL J, MD No data
REGISTERED AGENT ADDRESS CHANGED 2016-07-20 2475 BRICKELL AVE., APT PH5, MIAMI, FL 33129 No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J03000008617 LAPSED 02-22673 SP23 (2) MIAMI-DADE COUNTY COURT 2002-11-14 2008-01-10 $5,663.32 LABORATORY CORPORATION OF AMERICA, % ROBERT E KORN ESQ, 5295 TOWN CENTER RD #201, BOCA RATON FL 33486

Documents

Name Date
ANNUAL REPORT 2021-04-21
ANNUAL REPORT 2020-06-19
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-04-11
ANNUAL REPORT 2017-03-14
Amendment and Name Change 2016-07-20
ANNUAL REPORT 2016-03-07
ANNUAL REPORT 2015-03-18
ANNUAL REPORT 2014-02-17
ANNUAL REPORT 2013-04-19

Date of last update: 03 Feb 2025

Sources: Florida Department of State