| Entity Name: | MIRNA L. VALENCIA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Sep 2005 (19 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P05000124893 |
| FEI/EIN Number | 203453652 |
| Address: | 11350 NW 26 ST, PLANTATION, FL, 33323 |
| Mail Address: | 11350 NW 26 ST, PLANTATION, FL, 33323 |
| ZIP code: | 33323 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407967300 | 2006-08-31 | 2020-08-22 | 8960 SUNSET STRIP, SUNRISE, FL, 333223738, US | 2001 W 68TH ST, HIALEAH, FL, 330161801, US | |||||||||||||||||||
|
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| Phone | +1 954-326-7624 |
| Phone | +1 305-823-5000 |
Authorized person
| Name | DR. MIRNA LORENA VALENCIA |
| Role | PRESIDENT |
| Phone | 9543267624 |
Taxonomy
| Taxonomy Code | 282N00000X - General Acute Care Hospital |
| License Number | ME93645 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VALENCIA MIRNA L | Agent | 11350 NW 26 ST, PLANTATION, FL, 33323 |
| Name | Role | Address |
|---|---|---|
| VALENCIA MIRNA L | Director | 11350 NW 26 ST, PLANTATION, FL, 33323 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2008-10-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-10-28 | 11350 NW 26 ST, PLANTATION, FL 33323 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-10-28 | 11350 NW 26 ST, PLANTATION, FL 33323 | No data |
| CHANGE OF MAILING ADDRESS | 2008-10-28 | 11350 NW 26 ST, PLANTATION, FL 33323 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CANCEL ADM DISS/REV | 2007-05-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2008-10-28 |
| REINSTATEMENT | 2007-05-02 |
| Domestic Profit | 2005-09-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
