| Entity Name: | GONZALO MOSQUERA, MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 May 2010 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 18 Jan 2022 (3 years ago) |
| Document Number: | L10000049883 |
| FEI/EIN Number | 272509723 |
| Address: | 17600 SW 154TH PLACE, MIAMI, FL, 33187, US |
| Mail Address: | 17600 SW 154TH PLACE, MIAMI, FL, 33187, US |
| ZIP code: | 33187 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497109383 | 2016-04-18 | 2016-04-18 | 17600 SW 154TH PL, MIAMI, FL, 331877818, US | 6735 CONROY RD STE 419, ORLANDO, FL, 328353566, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 813-380-1761 |
Authorized person
| Name | DR. GONZALO MOSQUERA |
| Role | DIRECTOR/PRESIDENT |
| Phone | 8133801761 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | ME0071342 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOSQUERA GONZALO M | Agent | 17600 SW 154TH PLACE, MIAMI, FL, 33187 |
| Name | Role | Address |
|---|---|---|
| MOSQUERA GONZALO M | Managing Member | 17600 SW 154TH PLACE, MIAMI, FL, 33187 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-01-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-19 | 17600 SW 154TH PLACE, MIAMI, FL 33187 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-19 | 17600 SW 154TH PLACE, MIAMI, FL 33187 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-19 | 17600 SW 154TH PLACE, MIAMI, FL 33187 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-16 | MOSQUERA, GONZALO MD | No data |
| REINSTATEMENT | 2011-12-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-01-24 |
| REINSTATEMENT | 2022-01-18 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-03-15 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-19 |
| ANNUAL REPORT | 2015-04-16 |
| ANNUAL REPORT | 2014-04-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
