| Entity Name: | JOSE LUIS VARGAS, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 Jun 2004 (21 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P04000086093 |
| FEI/EIN Number | 20-1206708 |
| Address: | 2525 SW 75 AVE, MIAMI, FL 33155 |
| Mail Address: | PO BOX 145418, CORAL GABLES, FL 33114 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174712335 | 2007-10-23 | 2012-08-15 | 2525 SW 75TH AVE, MIAMI, FL, 331552800, US | 8740 SW 88TH ST, SUITE 210, MIAMI, FL, 331762212, US | |||||||||||||||||||||
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| Phone | +1 305-720-5733 |
Authorized person
| Name | JOSE LUIS VARGAS |
| Role | OWNER |
| Phone | 3057205753 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | DD0691 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SAUNDERS, EUGENE | Agent | 9990 SW 77 AVENUE, SUITE 203, MIAMI, FL 33156 |
| Name | Role | Address |
|---|---|---|
| VARGAS, JOSE L | Director | PO BOX 145418, CORAL GABLES, FL 33114 |
| Name | Role | Address |
|---|---|---|
| VARGAS, JOSE L | President | PO BOX 145418, CORAL GABLES, FL 33114 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-05-01 | 9990 SW 77 AVENUE, SUITE 203, MIAMI, FL 33156 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-27 | 2525 SW 75 AVE, MIAMI, FL 33155 | No data |
| CANCEL ADM DISS/REV | 2009-12-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-01-31 | 2525 SW 75 AVE, MIAMI, FL 33155 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-03-11 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-05-20 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-02-12 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-03-18 |
| ANNUAL REPORT | 2014-01-14 |
| ANNUAL REPORT | 2013-03-21 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State
