| Entity Name: | OB-GYN ASSOCIATES OF SOUTH FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 04 Apr 2012 (13 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: | L12000046044 |
| FEI/EIN Number | 46-0568261 |
| Address: | 2312 SW 25 TERR, MIAMI, FL 33133 |
| Mail Address: | 2312 SW 25 TERR, MIAMI, FL 33133 |
| ZIP code: | 33133 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437404381 | 2012-07-17 | 2012-12-04 | 3661 S MIAMI AVE STE 710, MIAMI, FL, 331334214, US | 3661 S MIAMI AVE STE 710, MIAMI, FL, 331334214, US | |||||||||||||||||||||||||
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| Phone | +1 305-860-5407 |
| Fax | 3058546521 |
Authorized person
| Name | ALEXIS DOMINGUEZ |
| Role | OWNER |
| Phone | 3058605407 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME 113513 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1891939294 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DOMINGUEZ, ALEXIS | Agent | 2312 SW 25 TERR, MIAMI, FL 33133 |
| Name | Role | Address |
|---|---|---|
| DOMINGUEZ, ALEXIS | Manager | 2312 SW 25 TERR, MIAMI, FL 33133 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-19 | 2312 SW 25 TERR, MIAMI, FL 33133 | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-19 | 2312 SW 25 TERR, MIAMI, FL 33133 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-19 | 2312 SW 25 TERR, MIAMI, FL 33133 | No data |
| LC AMENDMENT AND NAME CHANGE | 2012-11-05 | OB-GYN ASSOCIATES OF SOUTH FLORIDA, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-03-19 |
| ANNUAL REPORT | 2014-01-16 |
| ANNUAL REPORT | 2013-01-09 |
| LC Amendment and Name Change | 2012-11-05 |
| Florida Limited Liability | 2012-04-04 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
