| Entity Name: | PATRICK H GUADIZ, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 09 May 2005 (20 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P05000067766 |
| FEI/EIN Number | 202810133 |
| Address: | 920 COWBOY WAY, LA BELLE, FL, 33935, US |
| Mail Address: | P.O. BOX 249, LA BELLE, FL, 33975, US |
| ZIP code: | 33935 |
| County: | Hendry |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508036641 | 2008-03-05 | 2008-03-28 | PO BOX 249, LABELLE, FL, 339750249, US | 920 W COWBOY WAY, LABELLE, FL, 33935, US | |||||||||||||||||||
|
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| Phone | +1 863-675-2148 |
| Fax | 8636757078 |
Authorized person
| Name | MR. PATRICK HERMY GUADIZ |
| Role | PRESIDENT |
| Phone | 8636752148 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME92599 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GUADIZ PATRICK H | Agent | 3321 CYPRESS MARSH DRIVE, FORT MYERS, FL, 33905 |
| Name | Role | Address |
|---|---|---|
| GUADIZ PATRICK H | President | 920 COWBOY WAY, PO BOX 249, LA BELLE, FL, 33975 |
| Name | Role | Address |
|---|---|---|
| GUADIZ PATRICK H | Vice President | 920 COWBOY WAY, PO BOX 249, LA BELLE, FL, 33975 |
| Name | Role | Address |
|---|---|---|
| GUADIZ PATRICK H | Secretary | 920 COWBOY WAY, PO BOX 249, LA BELLE, FL, 33975 |
| Name | Role | Address |
|---|---|---|
| GUADIZ PATRICK H | Treasurer | 920 COWBOY WAY, PO BOX 249, LA BELLE, FL, 33975 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| NAME CHANGE AMENDMENT | 2006-01-31 | PATRICK H GUADIZ, MD, PA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-01-12 | 920 COWBOY WAY, LA BELLE, FL 33935 | No data |
| CHANGE OF MAILING ADDRESS | 2006-01-12 | 920 COWBOY WAY, LA BELLE, FL 33935 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-02-03 |
| ANNUAL REPORT | 2013-01-31 |
| ANNUAL REPORT | 2012-01-23 |
| ANNUAL REPORT | 2011-02-09 |
| ANNUAL REPORT | 2010-02-17 |
| ANNUAL REPORT | 2009-04-16 |
| ANNUAL REPORT | 2008-02-19 |
| ANNUAL REPORT | 2007-01-09 |
| Name Change | 2006-01-31 |
| ANNUAL REPORT | 2006-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
