| Entity Name: | JIMENEZ DE PENA INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Apr 2001 (24 years ago) |
| Document Number: | P01000034016 |
| FEI/EIN Number | 651090462 |
| Address: | 8360 SW 8TH ST, MIAMI, FL, 33144 |
| Mail Address: | 8360 SW 8TH ST, MIAMI, FL, 33144 |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104803311 | 2005-12-29 | 2007-08-08 | 8360 SW 8TH ST, MIAMI, FL, 331444180, US | 8360 SW 8TH ST, MIAMI, FL, 331444180, US | |||||||||||||||||||
|
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| Phone | +1 305-267-6165 |
| Fax | 3052676156 |
Authorized person
| Name | RAUL BOZA |
| Role | PRESIDENT |
| Phone | 3052816066 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC4399 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOZA RAUL | Agent | 8360 SW 8TH ST., MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| BOZA RAUL | President | 8360 SW 8TH ST, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| BOZA RAUL | Secretary | 8360 SW 8TH ST, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| BOZA RAUL | Treasurer | 8360 SW 8TH ST, MIAMI, FL, 33144 |
| Name | Role | Address |
|---|---|---|
| BOZA RAUL | Director | 8360 SW 8TH ST, MIAMI, FL, 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| AMENDMENT | 2003-07-25 | No data | No data |
| AMENDMENT | 2003-03-20 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
