| Entity Name: | DAVINA MEDICAL CARE, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Jun 2004 (21 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 21 Sep 2007 (17 years ago) |
| Document Number: | P04000087658 |
| FEI/EIN Number | 341997606 |
| Address: | 925 NE 30TH TERRACE, 316, HOMESTEAD, FL, 33033 |
| Mail Address: | 925 NE 30TH TERRACE, 316, HOMESTEAD, FL, 33033 |
| ZIP code: | 33033 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053363697 | 2006-05-16 | 2023-03-07 | 151 NW 11TH ST, SUITE: E-304, HOMESTEAD, FL, 330304360, US | 151 NW 11TH ST, SUITE: E-304, HOMESTEAD, FL, 330304360, US | |||||||||||||||||||||||||
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| Phone | +1 305-245-8787 |
| Fax | 3052458778 |
Authorized person
| Name | DR. LUISA M LOPEZ-LUCIANO |
| Role | DOCTOR |
| Phone | 3052458787 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME84057 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ME # |
| Number | ME84057 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LOPEZ-LUCIANO LUISA M | Agent | 925 NE 30TH TERRACE, HOMESTEAD, FL, 33033 |
| Name | Role | Address |
|---|---|---|
| LOPEZ-LUCIANO LUISA Dr. | Manager | 925 NE 30 Terrace, Homestead, FL, 33033 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2014-04-29 | LOPEZ-LUCIANO, LUISA MD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-23 | 925 NE 30TH TERRACE, 316, HOMESTEAD, FL 33033 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-23 | 925 NE 30TH TERRACE, 316, HOMESTEAD, FL 33033 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-23 | 925 NE 30TH TERRACE, 316, HOMESTEAD, FL 33033 | No data |
| CANCEL ADM DISS/REV | 2007-09-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CANCEL ADM DISS/REV | 2005-10-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-06-14 |
| ANNUAL REPORT | 2019-04-06 |
| ANNUAL REPORT | 2018-05-10 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-23 |
| ANNUAL REPORT | 2015-04-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
