Entity Name: | DULCE MARIA CORRALES, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 23 Apr 2001 (24 years ago) |
Document Number: | P01000040982 |
FEI/EIN Number | NOT APPLICABLE |
Address: | 2206 SE 3RD AVE., OCALA, FL, 34471 |
Mail Address: | 5602 SW 17TH DR., GAINESVILLE, FL, 32608 |
ZIP code: | 34471 |
County: | Marion |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1922845650 | 2024-07-10 | 2024-07-10 | 116 ROSALYN AVE FL USA, DAYTONA BEACH, FL, 321185131, US | 116 ROSALYN AVE FL USA, DAYTONA BEACH, FL, 321185131, US | |||||||||||||
|
Phone | +1 352-208-9129 |
Authorized person
Name | DR. DULCE MARIA CORRALES |
Role | OWNER |
Phone | 3522089129 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
FUTCH R. WILLIAM | Agent | 500 NE 8TH AVE, OCALA, FL, 34470 |
Name | Role | Address |
---|---|---|
CORRALES DULCE M | Director | 5602 SW 17TH DR., GAINESVILLE, FL, 32608 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State