| Entity Name: | RODOLFO SIDRON MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Mar 2004 (21 years ago) |
| Document Number: | P04000047171 |
| FEI/EIN Number | 20-0884275 |
| Address: | 8410 WEST FLAGLER ST, STE 212, MIAMI, FL 33144 |
| Mail Address: | 8410 WEST FLAGLER ST, STE 212, MIAMI, FL 33144 |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447299292 | 2006-06-06 | 2022-09-20 | 8410 W FLAGLER ST STE 212-213, MIAMI, FL, 331442092, US | 8410 W FLAGLER ST STE 212-213, MIAMI, FL, 331442092, US | |||||||||||||||||||||
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| Phone | +1 786-388-9877 |
| Fax | 7863889627 |
Authorized person
| Name | RODOLFO SIDRON |
| Role | OWNER/PRESIDENT |
| Phone | 7863889877 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 267832200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SIDRON, RODOLFO | Agent | 8410 W Flagler St Suite 212, Miami, FL 33144 |
| Name | Role | Address |
|---|---|---|
| Sidron, Rodolfo | President | 8410, W Flagler St Suite 212 Miami, FL 33144 |
| Name | Role | Address |
|---|---|---|
| Sidron, Rodolfo | Director | 8410, W Flagler St Suite 212 Miami, FL 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-12 | 8410 W Flagler St Suite 212, Miami, FL 33144 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-09-17 | 8410 WEST FLAGLER ST, STE 212, MIAMI, FL 33144 | No data |
| CHANGE OF MAILING ADDRESS | 2019-09-17 | 8410 WEST FLAGLER ST, STE 212, MIAMI, FL 33144 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-01-16 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-03-10 |
| ANNUAL REPORT | 2015-03-10 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State
