| Entity Name: | CLINICA DR. RUBIO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Jun 2013 (12 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L13000086583 |
| FEI/EIN Number | 46-2988175 |
| Address: | 2114 MANATEE AVE EAST, BRADENTON, FL, 34208, US |
| Mail Address: | 2114 MANATEE AVE EAST, BRADENTON, FL, 34208, US |
| ZIP code: | 34208 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972936375 | 2013-08-21 | 2022-07-21 | 2114 MANATEE AVE E, BRADENTON, FL, 342081660, US | 2114 MANATEE AVE E, BRADENTON, FL, 34208, US | |||||||||||||||||||||||||
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| Phone | +1 941-896-9944 |
Authorized person
| Name | DR. JAIME F RUBIO |
| Role | DOCTOR |
| Phone | 9417358315 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008832400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FLOREZ ACCOUNTING&TAX SOLUTIONS, INC | Agent | 8051 N TAMIAMI TRAIL STE A9, SARASOTA, FL, 34243 |
| Name | Role | Address |
|---|---|---|
| RUBIO JAIME FM.D | Director | 18011 PRAIRIE WOLF GLN, PARRISH, FL, 34219 |
| Name | Role | Address |
|---|---|---|
| RUBIO WENCY | Managing Member | 18011 PRAIRIE WOLF GLN, PARRISH, FL, 34219 |
| Name | Role | Address |
|---|---|---|
| RUBIO LOURDES AR.D.H. | Manager | 18011 PRAIRIE WOLF GLN, PARRISH, FL, 34219 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-12-17 | 8051 N TAMIAMI TRAIL STE A9, SARASOTA, FL 34243 | No data |
| REINSTATEMENT | 2020-12-17 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-12-17 | FLOREZ ACCOUNTING&TAX SOLUTIONS, INC | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-08-01 | 2114 MANATEE AVE EAST, BRADENTON, FL 34208 | No data |
| CHANGE OF MAILING ADDRESS | 2019-08-01 | 2114 MANATEE AVE EAST, BRADENTON, FL 34208 | No data |
| REINSTATEMENT | 2019-06-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REINSTATEMENT | 2014-10-05 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-29 |
| REINSTATEMENT | 2020-12-17 |
| REINSTATEMENT | 2019-06-06 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-04-22 |
| REINSTATEMENT | 2014-10-05 |
| Florida Limited Liability | 2013-06-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
