| Entity Name: | JOHN R. DYLEWSKI, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Jul 2003 (22 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | P03000076412 |
| FEI/EIN Number | 320084953 |
| Address: | 6419 Bird Road, Miami, FL, 33155, US |
| Mail Address: | 6476 SW 118 Street, Miami, FL, 33156, US |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912965666 | 2006-05-03 | 2018-11-01 | 6476 SW 118TH ST, MIAMI, FL, 331564800, US | 6705 RED ROAD, SUITE 500, CORAL GABLES, FL, 33143, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 305-796-6082 |
| Fax | 3056630236 |
| Phone | +1 305-662-2530 |
| Fax | 3056622375 |
Authorized person
| Name | DR. JOHN RICHARD DYLEWSKI |
| Role | PRESIDENT |
| Phone | 3057966082 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | ME0063942 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207RC0001X - Clinical Cardiac Electrophysiology Physician |
| License Number | ME0063942 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 269705000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROBU CRISTINA | Agent | 6476 SW 118 Street, Miami, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| DYLEWSKI JOHN RDr. | Director | 6476 SW 118 Street, Miami, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| DYLEWSKI JOHN RDr. | President | 6476 SW 118 Street, Miami, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| DYLEWSKI JOHN RDr. | Secretary | 6476 SW 118 Street, Miami, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| DYLEWSKI JOHN RDr. | Treasurer | 6476 SW 118 Street, Miami, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| ROBU CRISTINA | RA | 6476 SW 118 Street, Miami, FL, 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-16 | 6419 Bird Road, Miami, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-20 | 6419 Bird Road, Miami, FL 33155 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-20 | 6476 SW 118 Street, Miami, FL 33156 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-03-01 | ROBU, CRISTINA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-06-16 |
| ANNUAL REPORT | 2019-04-20 |
| ANNUAL REPORT | 2018-04-12 |
| ANNUAL REPORT | 2017-04-12 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-03 |
| ANNUAL REPORT | 2014-04-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
