| Entity Name: | PAULISTA MEDICAL CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 19 Nov 2010 (14 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L10000120439 |
| FEI/EIN Number | 45-2665068 |
| Address: | 3640 YACHT CLUB DRIVE, APARTMENT # 104, AVENTURA, FL 33180 |
| Mail Address: | 3640 YACHT CLUB DRIVE, APARTMENT # 104, AVENTURA, FL 33180 |
| ZIP code: | 33180 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982985735 | 2011-09-07 | 2011-09-07 | 3640 YACHT CLUB DR, APARTMENT # 104, AVENTURA, FL, 331803558, US | 3640 YACHT CLUB DR, APARTMENT # 104, AVENTURA, FL, 331803558, US | |||||||||||||||||
|
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| Phone | +1 786-942-6921 |
Authorized person
| Name | DR. CINDY SHAFFER |
| Role | PRESIDENT |
| Phone | 7869426921 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME108011 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHAFFER, ROBERT | Agent | 3640 YACHT CLUB DRIVE, APARTMENT # 104, AVENTURA, FL 33180 |
| Name | Role | Address |
|---|---|---|
| Shaffer, Robert | Managing Member | 3640 YACHT CLUB DRIVE, APARTMENT # 104 AVENTURA, FL 33180 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000028191 | SOVEREIGN HEALTHCARE ASSOCIATES | EXPIRED | 2015-03-13 | 2020-12-31 | No data | 3640 YACHT CLUB DRIVE, SUITE 104, AVENTURA, FL, 33180 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-07-11 | SHAFFER, ROBERT | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-07-11 | 3640 YACHT CLUB DRIVE, APARTMENT # 104, AVENTURA, FL 33180 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-01-19 |
| ANNUAL REPORT | 2014-03-30 |
| ANNUAL REPORT | 2013-01-24 |
| ANNUAL REPORT | 2012-02-07 |
| ANNUAL REPORT | 2011-07-11 |
| Florida Limited Liability | 2010-11-19 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
