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JORGE R. GUZMAN, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: JORGE R. GUZMAN, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 31 Jul 2000 (25 years ago)
Date of dissolution: 25 Sep 2015 (10 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (10 years ago)
Document Number: P00000072698
FEI/EIN Number 651027528
Address: 3501 HEALTH CENTER BLVD STE 2160, BONITA SPRINGS, FL, 34135
Mail Address: ERA FINANCIAL GROUP LLC, 20424 Larino Loop, Estero, FL, 33928, US
ZIP code: 34135
City: Bonita Springs
County: Lee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GUZMAN JORGE R Director 27257 ARROYAL RD, BONITA SPRINGS, FL, 34135
PEREZ NELLY M Director 27257 ARROYAL RD, BONITA SPRINGS, FL, 34135
RALLI STEPHEN Agent ERA FINANCIAL GROUP LLC, Estero, FL, 33928

National Provider Identifier

NPI Number:
1326360306

Authorized Person:

Name:
DR. JORGE R GUZMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
651027528
Plan Year:
2013
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
5
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 - -
CHANGE OF MAILING ADDRESS 2014-02-26 3501 HEALTH CENTER BLVD STE 2160, BONITA SPRINGS, FL 34135 -
REGISTERED AGENT ADDRESS CHANGED 2014-02-26 ERA FINANCIAL GROUP LLC, 20424 Larino Loop, Estero, FL 33928 -
REGISTERED AGENT NAME CHANGED 2010-03-08 RALLI, STEPHEN -
CHANGE OF PRINCIPAL ADDRESS 2001-01-31 3501 HEALTH CENTER BLVD STE 2160, BONITA SPRINGS, FL 34135 -

Documents

Name Date
ANNUAL REPORT 2014-02-26
ANNUAL REPORT 2013-02-25
ANNUAL REPORT 2012-02-07
ANNUAL REPORT 2011-03-07
Reg. Agent Change 2010-03-08
ANNUAL REPORT 2010-03-01
ANNUAL REPORT 2009-04-29
ANNUAL REPORT 2008-01-06
ANNUAL REPORT 2007-01-10
ANNUAL REPORT 2006-01-05

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Date of last update: 03 Aug 2025

Sources: Florida Department of State