| Entity Name: | PONCE MEDICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 06 Feb 2015 (10 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: | L15000022908 |
| Address: | 8100 NW 53RD ST., 260, DORAL, FL 33166 |
| Mail Address: | 8100 NW 53RD ST., 260, DORAL, FL 33166 |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932562543 | 2016-03-31 | 2016-03-31 | 8100 NW 53RD ST, 260, DORAL, FL, 331664796, US | 8100 NW 53RD ST, 260, DORAL, FL, 331664796, US | |||||||||||||||||
|
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| Phone | +1 954-401-2826 |
Authorized person
| Name | ALEJANDRA PONCE |
| Role | MANAGER |
| Phone | 9544012826 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | OS 12675 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PONCE, ALEJANDRA | Agent | 8100 NW 53RD ST., 260, DORAL, FL 33166 |
| Name | Role | Address |
|---|---|---|
| PONCE, ALEJANDRA | Manager | 8100 NW 53RD ST. APT 260, DORAL, FL 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2015-02-06 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
