| Entity Name: | JOSE R. MARQUINA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 09 Apr 2002 (23 years ago) |
| Date of dissolution: | 28 Mar 2016 (9 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Mar 2016 (9 years ago) |
| Document Number: | P02000038321 |
| FEI/EIN Number | 01-0671798 |
| Address: | 1855 VETERANS PARK DRIVE, SUITE 302, NAPLES, FL 34110 |
| Mail Address: | PO BOX 111179, NAPLES, FL 34109 |
| ZIP code: | 34110 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033136023 | 2006-07-16 | 2011-08-09 | PO BOX 111179, NAPLES, FL, 341080120, US | 1855 VETERANS PARK DR, SUITE 302, NAPLES, FL, 341090446, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 239-592-5864 |
| Fax | 2395926214 |
Authorized person
| Name | JOSE R MARQUINA |
| Role | OWNER |
| Phone | 2395925864 |
Taxonomy
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| License Number | 179809 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | 179809 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 262112600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARQUINA, JOSE R | Agent | 1855 VETERANS PARK DRIVE, #302, NAPLES, FL 34109 |
| Name | Role | Address |
|---|---|---|
| MARQUINA, JOSE R | Vice President | 1855 VETERANS PARK DRIVE, #302, NAPLES, FL 34109 |
| Name | Role | Address |
|---|---|---|
| MARQUINA, CANDICE A | President | 1855 VETERANS PARK DRIVE, #302, NAPLES, FL 34109 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2016-03-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-27 | 1855 VETERANS PARK DRIVE, SUITE 302, NAPLES, FL 34110 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-03-27 | 1855 VETERANS PARK DRIVE, #302, NAPLES, FL 34109 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-02-24 | 1855 VETERANS PARK DRIVE, SUITE 302, NAPLES, FL 34110 | No data |
| REGISTERED AGENT NAME CHANGED | 2003-02-10 | MARQUINA, JOSE R | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2016-03-28 |
| ANNUAL REPORT | 2015-02-21 |
| ANNUAL REPORT | 2014-01-17 |
| ANNUAL REPORT | 2013-02-05 |
| ANNUAL REPORT | 2012-07-02 |
| ANNUAL REPORT | 2011-03-27 |
| ANNUAL REPORT | 2010-03-19 |
| ANNUAL REPORT | 2009-01-12 |
| ANNUAL REPORT | 2008-03-23 |
| ANNUAL REPORT | 2007-02-19 |
Date of last update: 31 Jan 2025
Sources: Florida Department of State
