| Entity Name: | CHARLES HERRERA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Sep 1988 (36 years ago) |
| Document Number: | M98336 |
| FEI/EIN Number | 650104538 |
| Address: | 12333 nw 10th dr, Coral, FL, 33071, US |
| Mail Address: | 12333 nw 10th dr, STE 105, coral springs, FL, 33071-6172, US |
| ZIP code: | 33071 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851575658 | 2007-12-28 | 2010-07-09 | 7421 N UNIVERSITY DR, SUITE 105, TAMARAC, FL, 333212977, US | 7421 N UNIVERSITY DR, SUITE 105, TAMARAC, FL, 333212977, US | |||||||||||||||||||
|
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| Phone | +1 954-443-7600 |
| Fax | 9544437555 |
Authorized person
| Name | CHARLES HERRERA |
| Role | OWNER |
| Phone | 9547208036 |
Taxonomy
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| License Number | ME0054912 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HERRERA, CHARLES, M.D. | Agent | 12333 nw 10th dr, coral springs, FL, 330716172 |
| Name | Role | Address |
|---|---|---|
| HERRERA, CHARLES | Director | 12333 nw 10th dr, Coral, FL, 33321 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-01-26 | No data | No data |
| CANCEL ADM DISS/REV | 2003-10-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| REINSTATEMENT | 1990-07-02 | No data | No data |
| INVOLUNTARILY DISSOLVED | 1989-10-13 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
