| Entity Name: | RAMON VAZQUEZ, JR. MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Sep 2002 (22 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 12 Nov 2007 (17 years ago) |
| Document Number: | P02000100485 |
| FEI/EIN Number | 223872047 |
| Address: | 560 Village Blvd, Suite 200, West Palm Beach, FL, 33409, US |
| Mail Address: | 560 Village Blvd, Suite 200, West Palm Beach, FL, 33409, US |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114116597 | 2007-10-22 | 2011-11-30 | 3370 BURNS RD, SUITE 102, PALM BEACH GARDENS, FL, 334104327, US | 3370 BURNS RD, SUITE 102, PALM BEACH GARDENS, FL, 334104327, US | |||||||||||||||||||||||||
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| Phone | +1 561-694-6911 |
| Fax | 5616253239 |
Authorized person
| Name | DR. RAMON VAZQUEZ JR. |
| Role | PRESIDENT |
| Phone | 5616946911 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | ME85650 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 81495 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VAZQUEZ RAMON J | Agent | 560 Village Blvd, West Palm Beach, FL, 33409 |
| Name | Role | Address |
|---|---|---|
| VAZQUEZ RAMON J | President | 560 Village Blvd, West Palm Beach, FL, 33409 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-15 | 560 Village Blvd, Suite 200, West Palm Beach, FL 33409 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-15 | 560 Village Blvd, Suite 200, West Palm Beach, FL 33409 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-15 | 560 Village Blvd, Suite 200, West Palm Beach, FL 33409 | No data |
| CANCEL ADM DISS/REV | 2007-11-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CANCEL ADM DISS/REV | 2006-03-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000446193 | ACTIVE | 1000000998342 | PALM BEACH | 2024-06-18 | 2034-07-17 | $ 499.50 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, WEST PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD, WEST PALM BEACH FL334073105 |
| J24000370906 | ACTIVE | 50-2021-CA-000590 | PALM BEACH COUNTY CIRCUIT | 2024-06-04 | 2029-06-18 | $13971.41 | ANDREW JAMES, 4960 HAVEERHILL COMMONS CIRCLE, 36, WEST PALM BEACH, FL 33417 |
| J24000263721 | ACTIVE | 502021CA000590XXXXMB | PALM BEACH CTY CIR CT | 2023-11-14 | 2029-05-06 | $855,274.61 | ANDREW JAMES, 4960 HAVERHILL COMMONS CIRCLE #36, WEST PALM BEACH, FL 33417 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-09-20 |
| ANNUAL REPORT | 2023-05-12 |
| ANNUAL REPORT | 2022-06-01 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-05-05 |
| ANNUAL REPORT | 2019-06-10 |
| ANNUAL REPORT | 2018-04-04 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
