| Entity Name: | LLOPIZ MEDICAL PRACTICE CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Feb 2002 (23 years ago) |
| Document Number: | P02000022331 |
| FEI/EIN Number | 020567639 |
| Address: | 330 SW 27 AVE., 603, MIAMI, FL, 33135, US |
| Mail Address: | 330 SW 27 AVE, 603, MIAMI, FL, 33135, US |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578997805 | 2013-08-22 | 2013-08-22 | 330 SW 27TH AVE, MIAMI, FL, 331352961, US | 330 SW 27TH AVE, MIAMI, FL, 331352961, US | |||||||||||||||||||||||||
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| Phone | +1 305-649-5455 |
| Fax | 3056494458 |
Authorized person
| Name | DR. MARIA TERESA LLOPIZ |
| Role | DOCTOR/OWNER |
| Phone | 3056495455 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME81443 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 260440000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LLOPIZ MARIA T | Agent | 9369 SW 98 PL, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| LLOPIZ MARIA T | President | 9369 SW 98 PL, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| LLOPIZ MARIA T | Secretary | 9369 SW 98 PL, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| LLOPIZ MARIA T | Director | 9369 SW 98 PL, MIAMI, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-27 | 330 SW 27 AVE., 603, MIAMI, FL 33135 | No data |
| CHANGE OF MAILING ADDRESS | 2006-04-27 | 330 SW 27 AVE., 603, MIAMI, FL 33135 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-27 | 9369 SW 98 PL, MIAMI, FL 33176 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001045773 | TERMINATED | 1000000361773 | MIAMI-DADE | 2013-05-24 | 2033-06-07 | $ 600.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
