| Entity Name: | A. TERRELONGE MD - PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Nov 2004 (20 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 20 Jun 2016 (9 years ago) |
| Document Number: | P04000154781 |
| FEI/EIN Number | 201896966 |
| Address: | 300 NW 129 AVE., MIAMI, FL, 33182, US |
| Mail Address: | 300 NW 129 AVE., MIAMI, FL, 33182, US |
| ZIP code: | 33182 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235247081 | 2006-08-29 | 2009-03-24 | 300 NW 129TH AVE, MIAMI, FL, 331821166, US | 7801 CORAL WAY, SUITE 131, MIAMI, FL, 331556538, US | |||||||||||||||||||||
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| Phone | +1 786-234-8978 |
| Fax | 3052667260 |
| Phone | +1 305-266-7258 |
Authorized person
| Name | DR. ANTONIO TERRELONGE |
| Role | OWNER |
| Phone | 3052667258 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME92001 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TERRELONGE ANTONIO | Agent | 300 NW 129 AVENUE, MIAMI, FL, 33182 |
| Name | Role | Address |
|---|---|---|
| TERRELONGE ANTONIO | President | 300 NW 129 AVENUE, MIAMI, FL, 33182 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2016-06-20 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-06-20 | 300 NW 129 AVE., MIAMI, FL 33182 | No data |
| CHANGE OF MAILING ADDRESS | 2016-06-20 | 300 NW 129 AVE., MIAMI, FL 33182 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-02-07 | 300 NW 129 AVENUE, MIAMI, FL 33182 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-04-12 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-05-19 |
| ANNUAL REPORT | 2019-03-06 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-02-20 |
| Amendment | 2016-06-20 |
| ANNUAL REPORT | 2016-02-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
