| Entity Name: | PMG PROFESSIONAL MEDICAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Jan 2004 (21 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P04000013840 |
| FEI/EIN Number | 200650678 |
| Address: | 2141 W. FLAGLER STREET, 210-211, MIAMI, FL, 33135, US |
| Mail Address: | 2141 W. FLAGLER STREET, 210-211, MIAMI, FL, 33135, US |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003944562 | 2007-02-28 | 2008-09-16 | 2140 WEST FLAGLER ST, SUITE 210, MIAMI, FL, 33135, US | 2140 WEST FLAGLER ST, SUITE 210, MIAMI, FL, 33135, US | |||||||||||||||
|
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| Phone | +1 305-541-6545 |
| Fax | 3055416544 |
Authorized person
| Name | EDGAR E TARRAU |
| Role | PRESIDENT |
| Phone | 3055416545 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BASILIO JOSE D | Agent | 1414 NW 107 AVENUE, MIAMI, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| TARRAU EDGAR | President | 13311 NW 1ST LANE, MIAMI, FL, 33182 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-29 | 2141 W. FLAGLER STREET, 210-211, MIAMI, FL 33135 | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-29 | 2141 W. FLAGLER STREET, 210-211, MIAMI, FL 33135 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-04-29 | BASILIO, JOSE D | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-29 | 1414 NW 107 AVENUE, 206, MIAMI, FL 33172 | No data |
| AMENDMENT | 2004-11-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-04-29 |
| ANNUAL REPORT | 2007-03-28 |
| ANNUAL REPORT | 2006-03-08 |
| ANNUAL REPORT | 2005-03-14 |
| Amendment | 2004-11-22 |
| Domestic Profit | 2004-01-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
