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RAQUEL RODRIGUEZ MD P.A. - Florida Company Profile

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Company Details

Entity Name: RAQUEL RODRIGUEZ MD P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 10 Jul 2002 (23 years ago)
Date of dissolution: 27 Sep 2019 (6 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (6 years ago)
Document Number: P02000075372
FEI/EIN Number 043707725
Address: 13230 US HWY 1, SEBASTIAN, FL, 32958
Mail Address: 13230 US HWY 1, SEBASTIAN, FL, 32958
ZIP code: 32958
City: Sebastian
County: Indian River
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FERMIN EILEEN M Secretary 130 SEASIDE TRAIL, VERO BEACH, FL, 32963
MOREL GUILLERMO F President 130 SEASIDE TRAIL, VERO BEACH, FL, 32963
FERMIN EILEEN M Agent 13230 US 1, SEBASTIAN, FL, 32958
FERMIN EILEEN M Treasurer 130 SEASIDE TRAIL, VERO BEACH, FL, 32963

National Provider Identifier

NPI Number:
1063680114

Authorized Person:

Name:
EILEEN FERMIN
Role:
MD/ OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
7725894550

Form 5500 Series

Employer Identification Number (EIN):
043707725
Plan Year:
2014
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
0
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
REGISTERED AGENT ADDRESS CHANGED 2012-01-07 13230 US 1, SEBASTIAN, FL 32958 -
CHANGE OF PRINCIPAL ADDRESS 2011-03-29 13230 US HWY 1, SEBASTIAN, FL 32958 -
CHANGE OF MAILING ADDRESS 2011-03-29 13230 US HWY 1, SEBASTIAN, FL 32958 -
AMENDMENT 2009-06-26 - -
REGISTERED AGENT NAME CHANGED 2007-03-27 FERMIN, EILEEN MD -

Documents

Name Date
ANNUAL REPORT 2018-04-19
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-04-18
ANNUAL REPORT 2015-02-23
ANNUAL REPORT 2014-01-11
ANNUAL REPORT 2013-01-19
ANNUAL REPORT 2012-01-07
ADDRESS CHANGE 2011-03-29
ANNUAL REPORT 2011-01-12
ANNUAL REPORT 2010-01-12

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Date of last update: 01 Aug 2025

Sources: Florida Department of State