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PALMER MEDICAL GROUP, INC

Company Details

Entity Name: PALMER MEDICAL GROUP, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 17 Jun 2004 (21 years ago)
Date of dissolution: 16 Sep 2005 (19 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 16 Sep 2005 (19 years ago)
Document Number: P04000093215
Address: 2502 SW 89 AVENUE, MIAMI, FL, 33155, US
Mail Address: 2502 SW 89 AVENUE, MIAMI, FL, 33155, US
ZIP code: 33155
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356774616 2013-08-09 2013-08-09 4401 SW 75TH AVE, SUITE 3, MIAMI, FL, 331554445, US 4401 SW 75TH AVE, SUITE 3, MIAMI, FL, 331554445, US

Contacts

Phone +1 305-267-3399
Fax 7863625360

Authorized person

Name ANTONIO ALBERTO RUIZ
Role PRESIDENT
Phone 7864394116

Taxonomy

Taxonomy Code 171M00000X - Case Manager/Care Coordinator
Is Primary Yes

Agent

Name Role Address
PEDRAZA JORGE Agent 2502 SW 89 AVENUE, MIAMI, FL, 33155

President

Name Role Address
PEDRAZA JORGE President 2502 SW 89 AVENUE, MIAMI, FL, 33155

Vice President

Name Role Address
PEDRAZA JORGE Vice President 2502 SW 89 AVENUE, MIAMI, FL, 33155

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 No data No data

Documents

Name Date
Domestic Profit 2004-06-17

Date of last update: 02 Feb 2025

Sources: Florida Department of State