| Entity Name: | FELIX N RODRIGUEZ MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Jul 2015 (10 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L15000122715 |
| FEI/EIN Number | 47-4605765 |
| Address: | 8230 SW 144TH ST, PALMETTO BAY, FL, 33158 |
| Mail Address: | 8230 SW 144TH ST, PALMETTO BAY, FL, 33158 |
| ZIP code: | 33158 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235594631 | 2015-12-29 | 2015-12-29 | 9299 SW 152ND ST, PALMETTO BAY, FL, 331571737, US | 9299 SW 152ND ST, PALMETTO BAY, FL, 331571737, US | |||||||||||||||||||||||||||||
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| Phone | +1 305-232-0505 |
Authorized person
| Name | FELIX NICOLAS RODRIGUEZ |
| Role | OWNER |
| Phone | 9176289083 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME121067 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE |
| Number | IA354Y |
| State | FL |
| Issuer | MEDICAID |
| Number | 013024300 |
| State | FL |
| Name | Role |
|---|---|
| THE LAW OFFICES OF MAX A. ADAMS, ESQ., PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ FELIX | Manager | 8230 SW 144TH ST, PALMETTO BAY, FL, 33158 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-03-02 | THE LAW OFFICES OF MAX A ADAMS ESQ PLLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-02 | 2151 S LEJEUNE RD, SUITE 306, CORAL GABLES, FL 33134 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-03-02 |
| ANNUAL REPORT | 2016-04-18 |
| Florida Limited Liability | 2015-07-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
