| Entity Name: | JUAN B. OJEDA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 19 Nov 1987 (37 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | M62762 |
| FEI/EIN Number | 65-0072932 |
| Address: | 259 E 49St., HIALEAH, FL 33013 |
| Mail Address: | PO BOX 145026, CORAL GABLES, FL 33114-5026 |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447559042 | 2011-03-22 | 2011-03-22 | 259 E 49TH ST, HIALEAH, FL, 330131854, US | 259 E 49TH ST, HIALEAH, FL, 330131854, US | |||||||||||||||||||||||||
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| Phone | +1 305-828-4300 |
| Fax | 3058284940 |
Authorized person
| Name | DR. JUAN B OJEDA |
| Role | PHYSICIAN |
| Phone | 3058284300 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME42971 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 069041400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OJEDA, JUAN BM.D. | Agent | 259 E 49TH ST, HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| OJEDA, JUAN BM.D. | President | 259 E 49TH ST, HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| OJEDA, JUAN BM.D. | Vice President | 259 E 49TH ST, HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| OJEDA, JUAN BM.D. | Secretary | 259 E 49TH ST, HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| OJEDA, JUAN BM.D. | Treasurer | 259 E 49TH ST, HIALEAH, FL 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-07 | 259 E 49St., HIALEAH, FL 33013 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-02-05 | OJEDA, JUAN BM.D. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2003-01-16 | 259 E 49TH ST, HIALEAH, FL 33013 | No data |
| CHANGE OF MAILING ADDRESS | 1999-02-22 | 259 E 49St., HIALEAH, FL 33013 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J15000479325 | TERMINATED | 1000000670971 | DADE | 2015-04-03 | 2025-04-17 | $ 1,576.24 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-03-24 |
| ANNUAL REPORT | 2014-03-07 |
| ANNUAL REPORT | 2013-02-07 |
| ANNUAL REPORT | 2012-01-18 |
| ANNUAL REPORT | 2011-02-16 |
| ANNUAL REPORT | 2010-01-07 |
| ANNUAL REPORT | 2009-02-05 |
| ANNUAL REPORT | 2008-08-05 |
| ANNUAL REPORT | 2007-01-30 |
| ANNUAL REPORT | 2006-01-24 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
