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DULCE MARIA CORRALES, P.A.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
FUTCH R. WILLIAM Agent 500 NE 8TH AVE, OCALA, FL, 34470

Director

Name Role Address
CORRALES DULCE M Director 5602 SW 17TH DR., GAINESVILLE, FL, 32608

Events

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