| Entity Name: | GILBERTO JIMENEZ MD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Mar 2002 (23 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 14 Aug 2007 (17 years ago) |
| Document Number: | P02000029935 |
| FEI/EIN Number | 010644224 |
| Address: | MEDICAL PLAZA BUILDING, 1435 WEST 49TH PLACE SUITE # 306, HIALEAH, FL, 33012, US |
| Mail Address: | 19346 SW 41 ST, MIRAMAR, FL, 33029 |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871549840 | 2006-05-25 | 2020-11-18 | 19346 SW 41ST ST, MIRAMAR, FL, 330292752, US | 1435 W 49TH PL STE 306, HIALEAH, FL, 330123147, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 305-364-9949 |
| Fax | 3053640927 |
| Fax | 3053649949 |
Authorized person
| Name | DR. GILBERTO JIMENEZ |
| Role | PRESIDENT |
| Phone | 3053649949 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME82228 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC BS OF FLORIDA |
| Number | 06097 |
| State | FL |
| Issuer | MEDICAID |
| Number | 263490200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JIMENEZ GILBERTO M | Agent | 19346 SW 41 ST, MIRAMAR, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| JIMENEZ GILBERTO | President | 1435 W 49TH PLACE, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| JIMENEZ GILBERTO | Secretary | 1435 W 49TH PLACE, HIALEAH, FL, 33012 |
| Jimenez Odalys | Secretary | 1435 WEST 49TH PLACE, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| JIMENEZ GILBERTO | Director | 1435 W 49TH PLACE, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-26 | MEDICAL PLAZA BUILDING, 1435 WEST 49TH PLACE SUITE # 306, HIALEAH, FL 33012 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-22 | MEDICAL PLAZA BUILDING, 1435 WEST 49TH PLACE SUITE # 306, HIALEAH, FL 33012 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-22 | JIMENEZ, GILBERTO MD I | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-22 | 19346 SW 41 ST, MIRAMAR, FL 33029 | No data |
| AMENDMENT | 2007-08-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-02-25 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-02-11 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-29 |
| ANNUAL REPORT | 2017-02-27 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-02-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
