| Entity Name: | JOSE L LOPEZ-GUTIERREZ, MD.PA. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 Aug 2005 (19 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | P05000119947 |
| FEI/EIN Number | 113754721 |
| Address: | 2562 SW 27 AV., CAPE CORAL, FL, 33914 |
| Mail Address: | 2562 SW 27 AV., CAPE CORAL, FL, 33914 |
| ZIP code: | 33914 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689779852 | 2006-09-13 | 2020-08-22 | 2562 SW 27TH AVE, CAPE CORAL, FL, 339143833, US | 2562 SW 27TH AVE, CAPE CORAL, FL, 339143833, US | |||||||||||||||||
|
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| Phone | +1 239-542-0010 |
Authorized person
| Name | JOSE LUIS LOPEZ GUTIERREZ |
| Role | PRESIDENT |
| Phone | 2105420010 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME92874 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOPEZ-GUTIERREZ JOSE L | Agent | 2562 SW 27 AV., CAPE CORAL, FL, 33914 |
| Name | Role | Address |
|---|---|---|
| LOPEZ-GUTIERREZ JOSE L | President | 2562 SW 27 AV., CAPE CORAL, FL, 33914 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-08-15 | 2562 SW 27 AV., CAPE CORAL, FL 33914 | No data |
| CHANGE OF MAILING ADDRESS | 2006-08-15 | 2562 SW 27 AV., CAPE CORAL, FL 33914 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-08-15 | 2562 SW 27 AV., CAPE CORAL, FL 33914 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2007-05-07 |
| ANNUAL REPORT | 2006-08-15 |
| Domestic Profit | 2005-08-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
