| Entity Name: | RAUL CARDENAS M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Feb 1990 (35 years ago) |
| Document Number: | L49382 |
| FEI/EIN Number | 650176766 |
| Address: | 13941 OAK RIDGE DRIVE, DAVIE, FL, 33325, US |
| Mail Address: | 13941 OAK RIDGE DRIVE, DAVIE, FL, 33325, US |
| ZIP code: | 33325 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437443868 | 2011-06-02 | 2011-06-02 | 13941 OAK RIDGE DR, DAVIE, FL, 333253002, US | 4399 N NOB HILL RD, SUNRISE, FL, 333515813, US | |||||||||||||||||
|
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| Phone | +1 305-630-9244 |
Authorized person
| Name | RAUL CARDENAS |
| Role | PRESIDENT |
| Phone | 9544745238 |
Taxonomy
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| License Number | ME0046093 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CEBALLOS HAYDEE | Agent | 890 S DIXIE HWY, CORAL GABLES, FL, 33146 |
| Name | Role | Address |
|---|---|---|
| RAUL CARDENAS | President | 13941 OAK RIDGE DR, DAVIE, FL, 33325 |
| Name | Role | Address |
|---|---|---|
| RAUL CARDENAS | Director | 13941 OAK RIDGE DR, DAVIE, FL, 33325 |
| BERTA CARDENAS | Director | 13941 OAK RIDGE DR, DAVIE, FL, 33325 |
| Name | Role | Address |
|---|---|---|
| BERTA CARDENAS | Secretary | 13941 OAK RIDGE DR, DAVIE, FL, 33325 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CANCEL ADM DISS/REV | 2007-04-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
