| Entity Name: | ALVARO E. VISBAL MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 18 Nov 2011 (13 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L11000131694 |
| FEI/EIN Number | 45-3838224 |
| Address: | 120 EAST OAKLAND PARK BLVD. SUITE 105, FORT LAUDERDALE, FL 33334 |
| Mail Address: | 120 EAST OAKLAND PARK BLVD. SUITE 105, FORT LAUDERDALE, FL 33334 |
| ZIP code: | 33334 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144664079 | 2013-04-22 | 2013-05-28 | 120 E OAKLAND PARK BLVD, STE 105, OAKLAND PARK, FL, 333341100, US | 12301 TAFT ST, STE 100, PEMBROKE PINES, FL, 330264387, US | |||||||||||||||||||||||||||
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| Phone | +1 954-495-4491 |
| Fax | 9543439816 |
Authorized person
| Name | ALVARO E VISBAL |
| Role | MGR |
| Phone | 9544954491 |
Taxonomy
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| License Number | ME101129 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | ME101129 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOWER, TANYA LESQ | Agent | TRIPP SCOTT, P.A., 110 SE 6TH STREET, 15TH FLOOR, FORT LAUDERDALE, FL 33301 |
| Name | Role | Address |
|---|---|---|
| VISBAL, ALVARO E | Manager | 120 EAST OAKLAND PARK BLVD., SUITE 105 FORT LAUDERDALE, FL 33334 |
| VISBAL, MARIA XIMENA | Manager | 120 EAST OAKLAND PARK BLVD., SUITE 105 FORT LAUDERDALE, FL 33334 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-11-30 | 120 EAST OAKLAND PARK BLVD. SUITE 105, FORT LAUDERDALE, FL 33334 | No data |
| CHANGE OF MAILING ADDRESS | 2011-11-30 | 120 EAST OAKLAND PARK BLVD. SUITE 105, FORT LAUDERDALE, FL 33334 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-01-16 |
| ANNUAL REPORT | 2013-01-25 |
| ANNUAL REPORT | 2012-02-10 |
| Florida Limited Liability | 2011-11-18 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
