| Entity Name: | DAVID TORRES M.D. P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 09 May 2005 (20 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P05000069478 |
| FEI/EIN Number | 202984003 |
| Address: | 7691 Charleston Way, Port St. Lucie, FL, 34986, US |
| Mail Address: | 7691 Charleston Way, Port St. Lucie, FL, 34986, US |
| ZIP code: | 34986 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932329471 | 2007-04-26 | 2015-11-25 | 7691 CHARLESTON WAY, PORT SAINT LUCIE, FL, 349863003, US | 1871 SE TIFFANY AVE, SUITE 210, PORT ST LUCIE, FL, 349527585, US | |||||||||||||||||||||||||||
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| Phone | +1 772-618-0280 |
| Phone | +1 772-398-3609 |
| Fax | 7723982255 |
Authorized person
| Name | DAVID TORRES |
| Role | OWNER |
| Phone | 7726180280 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME 88518 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 269729701 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TORRES DAVID | Agent | 7691 CHARLESTON WAY, PORT ST. LUCIE, FL, 34986 |
| Name | Role | Address |
|---|---|---|
| TORRES DAVID | President | 7691 CHARLESTON WAY, PORT ST. LUCIE, FL, 34986 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-07-15 | TORRES, DAVID | No data |
| REINSTATEMENT | 2015-07-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-07-15 | 7691 Charleston Way, Port St. Lucie, FL 34986 | No data |
| CHANGE OF MAILING ADDRESS | 2015-07-15 | 7691 Charleston Way, Port St. Lucie, FL 34986 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REINSTATEMENT | 2007-10-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2015-07-15 |
| ANNUAL REPORT | 2011-06-15 |
| ANNUAL REPORT | 2010-01-07 |
| ANNUAL REPORT | 2009-01-05 |
| ANNUAL REPORT | 2008-01-10 |
| REINSTATEMENT | 2007-10-23 |
| ANNUAL REPORT | 2006-04-10 |
| Domestic Profit | 2005-05-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
