| Entity Name: | ERNESTO PAZ, JR., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Jul 2004 (21 years ago) |
| Document Number: | P04000111014 |
| FEI/EIN Number | 201460230 |
| Address: | 45 SW 36 CT, miami, FL, 33135, US |
| Mail Address: | 45 SW 36 CT, miami, FL, 33135, US |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306273297 | 2013-10-09 | 2018-11-29 | 45 PONCE DE LEON BLVD, MIAMI, FL, 331351040, US | 45 PONCE DE LEON BLVD, MIAMI, FL, 331351040, US | |||||||||||||||||||||||||||
|
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| Phone | +1 305-448-4433 |
| Fax | 3054412821 |
| Phone | +1 786-444-1337 |
Authorized person
| Name | DR. ERNESTO PAZ JR. |
| Role | PRESIDENT |
| Phone | 3054484433 |
Taxonomy
| Taxonomy Code | 1223E0200X - Endodontist |
| License Number | DN16045 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1780890095 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PAZ ERNESTO J | Agent | 45 ponce de leon blvd, miami, FL, 33135 |
| Name | Role |
|---|---|
| ERNESTO PAZ, JR., P.A. | President |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000055952 | GABLESRCT ENDODONTICS | ACTIVE | 2017-05-19 | 2027-12-31 | No data | 45 SW 36 CT, MIAMI, FL, 33135 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-28 | 45 SW 36 CT, miami, FL 33135 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-28 | 45 SW 36 CT, miami, FL 33135 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-10-01 | 45 ponce de leon blvd, miami, FL 33135 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-14 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-10 |
| ANNUAL REPORT | 2019-01-11 |
| AMENDED ANNUAL REPORT | 2018-10-01 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
