| Entity Name: | MED ONE MEDICAL MANAGEMENT INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Jun 2000 (25 years ago) |
| Document Number: | P00000063357 |
| FEI/EIN Number | 651024350 |
| Address: | 486 FISHERMAN STREET, OPALOCKA, FL, 33054, US |
| Mail Address: | 486 FISHERMAN STREET, OPALOCKA, FL, 33054, US |
| ZIP code: | 33054 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780776401 | 2006-09-29 | 2012-05-21 | 486 FISHERMAN ST, OPA LOCKA, FL, 330543818, US | 486 FISHERMAN ST, OPA LOCKA, FL, 330543818, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-688-5456 |
| Fax | 3056881661 |
Authorized person
| Name | PIERRE R BLEMUR |
| Role | PRESIDENT |
| Phone | 3056885456 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | 3262 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CARMEN URIBE LICENSE |
| Number | ME34811 |
| Issuer | LAILA CHAGANI LICENSE |
| Number | ME67381 |
| Issuer | PIERRE BLEMUR LICENSE |
| Number | ME45180 |
| Name | Role | Address |
|---|---|---|
| BLEMUR PIERRE R | Agent | 486 FISHERMAN STREET, OPALOCKA, FL, 33054 |
| Name | Role | Address |
|---|---|---|
| BLEMUR PIERRE R | President | 486 FISHERMAN STREET, OPALOCKA, FL, 33054 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2011-09-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
