| Entity Name: | JORGE DUBOIS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 31 Jan 2005 (20 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | P05000015736 |
| FEI/EIN Number | 202244415 |
| Address: | 845 EAST 10TH AVE, HIALEAH, FL, 33013 |
| Mail Address: | 845 EAST 10TH AVE, HIALEAH, FL, 33013 |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093888190 | 2006-11-16 | 2020-08-22 | 845 E 10TH AVE, HIALEAH, FL, 330104645, US | 845 E 10TH AVE, HIALEAH, FL, 330104645, US | |||||||||||||||||
|
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| Phone | +1 305-310-3587 |
Authorized person
| Name | JORGE DUBOIS |
| Role | PRESIDENT |
| Phone | 3053103587 |
Taxonomy
| Taxonomy Code | 170100000X - Ph.D. Medical Genetics |
| License Number | ME 92151 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DUBOIS JORGE M | Agent | 1111 BRICKELL BAY DR. APT 1212, MIAMI, FL, FL, 33131 |
| Name | Role | Address |
|---|---|---|
| DUBOIS JORGE M | President | 1111 BRICKELL BAY DR. APT1212, MIAMI, FL, 33131 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-19 | 845 EAST 10TH AVE, HIALEAH, FL 33013 | No data |
| CHANGE OF MAILING ADDRESS | 2006-04-19 | 845 EAST 10TH AVE, HIALEAH, FL 33013 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-19 | 1111 BRICKELL BAY DR. APT 1212, MIAMI, FL, FL 33131 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2006-04-19 |
| Domestic Profit | 2005-01-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
