| Entity Name: | HUMBERTO G. JUNCO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 25 Jun 1985 (40 years ago) |
| Date of dissolution: | 13 Oct 1989 (35 years ago) |
| Last Event: | INVOLUNTARILY DISSOLVED |
| Event Date Filed: | 13 Oct 1989 (35 years ago) |
| Document Number: | M17261 |
| FEI/EIN Number | 00-0000000 |
| Address: | 777 EAST 25TH STREET, STE.306, HIALEAH, FL 33013 |
| Mail Address: | 777 EAST 25TH STREET, STE.306, HIALEAH, FL 33013 |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952549149 | 2009-01-27 | 2009-02-12 | 7000 SW 97TH AVE, 115, MIAMI, FL, 331731494, US | 7000 SW 97TH AVE, 115, MIAMI, FL, 331731494, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 305-273-0228 |
| Fax | 3052735488 |
Authorized person
| Name | HUMBERTO G JUNCO |
| Role | PRESIDENT |
| Phone | 3052730228 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 27473 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 268788700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JUNCO, HUMBERTO G. | Agent | 777 EAST 25TH STRET, #306, HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| JUNCO, HUMBERO G. | President | 777 E. 25TH ST. #306, HIALEAH, FL |
| Name | Role | Address |
|---|---|---|
| JUNCO, HUMBERO G. | Director | 777 E. 25TH ST. #306, HIALEAH, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| INVOLUNTARILY DISSOLVED | 1989-10-13 | No data | No data |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
