| Entity Name: | JORGE L CASTRIZ, M.D., L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 27 Aug 1998 (26 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L98000001619 |
| FEI/EIN Number | 650860422 |
| Address: | 724 JACANA WAY, NORTH PALM BEACH, FL, 33408 |
| Mail Address: | 724 JACANA WAY, NORTH PALM BEACH, FL, 33408 |
| ZIP code: | 33408 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639366289 | 2007-09-27 | 2007-09-27 | 3370 BURNS RD STE 103, PALM BEACH GARDENS, FL, 334104327, US | 3370 BURNS RD STE 103, PALM BEACH GARDENS, FL, 334104327, US | |||||||||||||||||||||||||||
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| Phone | +1 561-627-6600 |
| Fax | 5616273222 |
Authorized person
| Name | MRS. DEISY C SANCHEZ |
| Role | BILLER |
| Phone | 5616276600 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | 23709 |
| State | FL |
| Issuer | GHI |
| Number | 2101071 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CASTRIZ ROSEMARIE I | Agent | 724 JACANA WAY, NORTH PALM BEACH, FL, 33408 |
| Name | Role | Address |
|---|---|---|
| CASTRIZ JORGE L | Director | 724 JACANA WAY, NORTH PALM BEACH, FL, 33408 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-06 | 724 JACANA WAY, NORTH PALM BEACH, FL 33408 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-06 | CASTRIZ, ROSEMARIE IMRS. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-06 | 724 JACANA WAY, NORTH PALM BEACH, FL 33408 | No data |
| CHANGE OF MAILING ADDRESS | 2008-01-22 | 724 JACANA WAY, NORTH PALM BEACH, FL 33408 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-01-06 |
| ANNUAL REPORT | 2011-01-12 |
| ANNUAL REPORT | 2010-03-04 |
| ANNUAL REPORT | 2009-04-06 |
| ANNUAL REPORT | 2008-01-22 |
| ANNUAL REPORT | 2007-01-31 |
| ANNUAL REPORT | 2006-01-19 |
| ANNUAL REPORT | 2005-06-07 |
| ANNUAL REPORT | 2004-08-27 |
| LIMITED LIABILITY CORPORATION | 2003-02-05 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
