| Entity Name: | LOURDES NUNEZ MD, PA. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Jun 2001 (24 years ago) |
| Date of dissolution: | 25 Mar 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 25 Mar 2023 (2 years ago) |
| Document Number: | P01000056748 |
| FEI/EIN Number | 651111160 |
| Address: | 20601 Old Cutler Road, STE 101, Cutler Bay, FL, 33189, US |
| Mail Address: | 20601 Old Cutler Road, STE 101, Cutler Bay, FL, 33189, US |
| ZIP code: | 33189 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164625067 | 2007-06-07 | 2011-09-21 | 12002 SW 128TH CT, SUITE 210, MIAMI, FL, 331864639, US | 12002 SW 128TH CT, SUITE 210, MIAMI, FL, 331864639, US | |||||||||||||||||||||||||
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| Phone | +1 305-234-8321 |
| Fax | 3052348358 |
Authorized person
| Name | MRS. KAREM TORIBIO |
| Role | OFFICE MANAGER |
| Phone | 3052348321 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME60074 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 055445600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NUNEZ LOURDES | Agent | 16900 SW 162 AVE, MIAMI, FL, 33187 |
| Name | Role | Address |
|---|---|---|
| NUNEZ LOURDES | President | 16900 SW 162 AVENUE, MIAMI, FL, 33187 |
| Name | Role | Address |
|---|---|---|
| NUNEZ LOURDES | Director | 16900 SW 162 AVENUE, MIAMI, FL, 33187 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-03-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-20 | 20601 Old Cutler Road, STE 101, Cutler Bay, FL 33189 | No data |
| CHANGE OF MAILING ADDRESS | 2015-02-20 | 20601 Old Cutler Road, STE 101, Cutler Bay, FL 33189 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-02-09 | 16900 SW 162 AVE, MIAMI, FL 33187 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-03-25 |
| ANNUAL REPORT | 2022-02-12 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-26 |
| ANNUAL REPORT | 2019-02-20 |
| ANNUAL REPORT | 2018-02-23 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-02-13 |
| ANNUAL REPORT | 2015-02-20 |
| ANNUAL REPORT | 2014-03-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
