| Entity Name: | AXELL F. PALMA MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
AXELL F. PALMA MD, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 20 Sep 2012 (13 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | L12000120517 |
| FEI/EIN Number |
46-1022363
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 10731 SW 126TH.AVE, MIAMI, FL, 33186, US |
| Mail Address: | 10731 SW 126TH.AVE, MIAMI, FL, 33186, US |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992045900 | 2013-02-27 | 2014-03-14 | 7821 CORAL WAY, 101, MIAMI, FL, 331556542, US | 7821 CORAL WAY, 101, MIAMI, FL, 331556542, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 786-355-9576 |
| Fax | 3052611997 |
Authorized person
| Name | DR. AXELL F PALMA |
| Role | MGR |
| Phone | 7863559576 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008-208-300 |
| State | FL |
| Issuer | BLUE CROSS & BLUE SHIELD |
| Number | 5902-00004-18890 |
| State | FL |
| Issuer | DRUG ENFORCEMENT ADM. |
| Number | BP 457 7815 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PALMA AXELL F | Managing Member | 10731 SW 126TH.AVE, MIAMI, FL, 33186 |
| PALMA AXELL FMD | Agent | 10731 SW 126TH.AVE, MIAMI, FL, 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-05-01 | 10731 SW 126TH.AVE, MIAMI, FL 33186 | - |
| CHANGE OF MAILING ADDRESS | 2016-03-25 | 10731 SW 126TH.AVE, MIAMI, FL 33186 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-25 | 10731 SW 126TH.AVE, MIAMI, FL 33186 | - |
| REINSTATEMENT | 2013-11-22 | - | - |
| REGISTERED AGENT NAME CHANGED | 2013-11-22 | PALMA, AXELL F, MD | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-03-25 |
| ANNUAL REPORT | 2015-02-24 |
| ANNUAL REPORT | 2014-05-05 |
| REINSTATEMENT | 2013-11-22 |
| Florida Limited Liability | 2012-09-20 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
