| Entity Name: | JOSE L. AVILA, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
JOSE L. AVILA, MD, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 15 Sep 2000 (24 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P00000087615 |
| FEI/EIN Number |
651054586
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1380 NE MIAMI GARDENS DRIVE, SUITE 132, N. MIAMI BEACH, FL, 33179 |
| Mail Address: | 413 TAMARIND DRIVE, HALLANDALE BEACH, FL, 33009 |
| ZIP code: | 33179 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225080039 | 2006-05-17 | 2008-06-24 | 413 TAMARIND DR, HALLANDALE BEACH, FL, 330096541, US | 1380 NE MIAMI GARDENS DR, SUITE 132, N MIAMI BEACH, FL, 331794707, US | |||||||||||||||||||||||||
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| Phone | +1 305-956-7755 |
| Fax | 3059565688 |
Authorized person
| Name | DR. JOSE LUIS AVILA |
| Role | OWNER/PRES |
| Phone | 3059567755 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME77537 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 257282600 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSE L AVILA MD PA | 2009 | 651054586 | 2010-07-09 | JOSE L AVILA MD PA | 3 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 651054586 |
| Plan administrator’s name | JOSE L AVILA MD PA |
| Plan administrator’s address | 1380 NE MIAMI GARDENS DRIVE, SUITE 132, NORTH MIAMI BEACH, FL, 33179 |
| Administrator’s telephone number | 3059567755 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-09 |
| Name of individual signing | JOSE L AVILA MD PA |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3059567755 |
| Plan sponsor’s address | 1380 NE MIAMI GARDENS DRIVE, SUITE 132, NORTH MIAMI BEACH, FL, 33179 |
Plan administrator’s name and address
| Administrator’s EIN | 651054586 |
| Plan administrator’s name | JOSE L AVILA MD PA |
| Plan administrator’s address | 1380 NE MIAMI GARDENS DRIVE, SUITE 132, NORTH MIAMI BEACH, FL, 33179 |
| Administrator’s telephone number | 3059567755 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-01 |
| Name of individual signing | JOSE L AVILA MD PA |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Name | Role | Address |
|---|---|---|
| AVILA JOSE L | President | 413 TAMARIND DRIVE, HALLANDALE BEACH, FL, 33009 |
| AVILA JOSE L | Director | 413 TAMARIND DRIVE, HALLANDALE BEACH, FL, 33009 |
| AVILA JOSE L | Agent | 413 TAMARIND DRIVE, HALLANDALE BEACH, FL, 33009 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-09 | 1380 NE MIAMI GARDENS DRIVE, SUITE 132, N. MIAMI BEACH, FL 33179 | - |
| REINSTATEMENT | 2004-10-26 | - | - |
| CHANGE OF MAILING ADDRESS | 2004-10-26 | 1380 NE MIAMI GARDENS DRIVE, SUITE 132, N. MIAMI BEACH, FL 33179 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2004-10-26 | 413 TAMARIND DRIVE, HALLANDALE BEACH, FL 33009 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J19000250439 | ACTIVE | 1000000821623 | BROWARD | 2019-04-01 | 2029-04-03 | $ 868.23 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-09 |
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-02-18 |
| ANNUAL REPORT | 2012-01-18 |
| ANNUAL REPORT | 2011-01-09 |
| ANNUAL REPORT | 2010-02-17 |
| ANNUAL REPORT | 2009-03-23 |
| ANNUAL REPORT | 2008-02-02 |
| ANNUAL REPORT | 2007-07-03 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
