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PINES ADVANCED MEDICAL GROUP, PA - Florida Company Profile

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Company Details

Entity Name: PINES ADVANCED MEDICAL GROUP, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Feb 2004 (22 years ago)
Date of dissolution: 25 Sep 2009 (16 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2009 (16 years ago)
Document Number: P04000029881
FEI/EIN Number 200739369
Address: 17901 NW 5 ST, SUITE- 106, PEMBROKE PINES, FL, 33029
Mail Address: 17901 NW 5 ST, SUITE- 106, PEMBROKE PINES, FL, 33029
ZIP code: 33029
City: Hollywood
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VALDES GERARDO A President 17901 NW 5 ST SUITE- 106, PEMBROKE PINES, FL, 33029
VALDES JULIE R Secretary 17901 NW 5 ST SUITE- 106, PEMBROKE PINES, FL, 33029
VALDES JULIE R Treasurer 17901 NW 5 ST SUITE- 106, PEMBROKE PINES, FL, 33029
VALDES GERARDO A Vice President 17901 NW 5 ST SUITE- 106, PEMBROKE PINES, FL, 33029
VALDES GERARDO A Agent 17901 NW 5 ST, PEMBROKE PINES, FL, 33029

National Provider Identifier

NPI Number:
1770771271

Authorized Person:

Name:
DR. GERARDO ALBERTO VALDES
Role:
PHYSICIAN / OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9547040227

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 - -

Documents

Name Date
ANNUAL REPORT 2008-02-01
ANNUAL REPORT 2007-01-29
ANNUAL REPORT 2006-03-01
ANNUAL REPORT 2005-01-17
Domestic Profit 2004-02-16

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Date of last update: 01 Aug 2025

Sources: Florida Department of State