Entity Name: | VIRGILIO DEL PINO MD, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 09 Oct 2002 (22 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 26 Oct 2018 (6 years ago) |
Document Number: | P02000109218 |
FEI/EIN Number | 431981904 |
Address: | 351 NW LE JEUNE ROAD, SUITE #105, MIAMI, FL, 33126, US |
Mail Address: | 351 NW LE JEUNE ROAD, MIAMI, FL, 33126, US |
ZIP code: | 33126 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1275675100 | 2007-02-14 | 2018-05-08 | 351 NW 42ND AVE STE 105, MIAMI, FL, 331265670, US | 351 NW 42ND AVE STE 105, MIAMI, FL, 331265670, US | |||||||||||||||||||||||||
|
Phone | +1 786-235-1031 |
Fax | 7862351033 |
Authorized person
Name | DR. VIRGILIO DEL PINO |
Role | OWNER |
Phone | 7862351031 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | ME87043 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 267085200 |
State | FL |
Name | Role | Address |
---|---|---|
DEL PINO VIRGILIO | Agent | 351 NW LE JEUNE ROAD, MIAMI, FL, 33126 |
Name | Role | Address |
---|---|---|
DEL PINO VIRGILIO | President | 351 NW LE JEUNE ROAD, MIAMI, FL, 33126 |
Name | Role | Address |
---|---|---|
DEL PINO VIRGILIO | Director | 351 NW LE JEUNE ROAD, MIAMI, FL, 33126 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2021-01-27 | 351 NW LE JEUNE ROAD, SUITE #105, MIAMI, FL 33126 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2021-01-27 | 351 NW LE JEUNE ROAD, SUITE #105, MIAMI, FL 33126 | No data |
REINSTATEMENT | 2018-10-26 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2018-10-26 | 351 NW LE JEUNE ROAD, SUITE #105, MIAMI, FL 33126 | No data |
REGISTERED AGENT NAME CHANGED | 2018-10-26 | DEL PINO, VIRGILIO | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
CANCEL ADM DISS/REV | 2009-09-30 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
AMENDMENT | 2006-05-23 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-11 |
ANNUAL REPORT | 2023-01-22 |
ANNUAL REPORT | 2022-01-20 |
ANNUAL REPORT | 2021-01-27 |
ANNUAL REPORT | 2020-01-07 |
ANNUAL REPORT | 2019-01-08 |
REINSTATEMENT | 2018-10-26 |
ANNUAL REPORT | 2017-04-28 |
ANNUAL REPORT | 2016-04-19 |
AMENDED ANNUAL REPORT | 2015-09-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State