| Entity Name: | THE MIAMI INDEPENDENT PRACTICE ASSOCIATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Mar 1986 (39 years ago) |
| Document Number: | M29327 |
| FEI/EIN Number | 650020017 |
| Address: | 5599 BISCAYNE BLVD, MIAMI, FL, 33137 |
| Mail Address: | 5599 BISCAYNE BLVD, MIAMI, FL, 33137 |
| ZIP code: | 33137 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| Name | Role | Address |
|---|---|---|
| RAATTAMA, HENRY H. | Agent | MERSHON, SAWYER, JOHNSTON, ET AL., MIAMI, FL, 33131 |
| Name | Role | Address |
|---|---|---|
| POLLACK, RICHARD, M.D. | President | 2925 AVENTURA BLVD, MIAMI, FL |
| Name | Role | Address |
|---|---|---|
| HART, ROBERT, M.D. | Secretary | 5599 BISCAYNE BLVD, MIAMI, FL |
| Name | Role | Address |
|---|---|---|
| FORTHMAN, HUGH J, M.D. | Director | 5599 BISCAYNE BLVD, MIAMI, FL |
| NIEJADLIK, KENNETH, M.D. | Director | 5599 BISCAYNE BLVD, MIAMI, FL |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1993-08-13 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
