| Entity Name: | GRACE G GUADIZ, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Dec 2005 (19 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P05000163552 |
| FEI/EIN Number | 203943800 |
| Mail Address: | PO BOX 625, LABELLE, FL, 33975 |
| Address: | 1240 WEST COWBOY WAY, LABELLE, FL, 33975, US |
| ZIP code: | 33975 |
| County: | Hendry |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861662900 | 2008-03-05 | 2009-02-18 | PO BOX 625, LABELLE, FL, 339750625, US | 920 W COWBOY WAY, LABELLE, FL, 33935, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 863-675-2148 |
| Fax | 8636757078 |
Authorized person
| Name | MRS. GRACE GONZALES GUADIZ |
| Role | PRESIDENT |
| Phone | 8636752148 |
Taxonomy
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| License Number | ME29639 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GUADIZ GRACE G | Agent | 1240 WEST COWBOY WAY, LABELLE, FL, 33975 |
| Name | Role | Address |
|---|---|---|
| GUADIZ GRACE G | Chief Executive Officer | 1240 WEST COWBOY WAY, LABELLE, FL, 33975 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-24 | 1240 WEST COWBOY WAY, LABELLE, FL 33975 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-24 | 1240 WEST COWBOY WAY, LABELLE, FL 33975 | No data |
| ARTICLES OF CORRECT-ION/NAME CHANGE | 2006-01-17 | GRACE G GUADIZ, MD, PA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-06 |
| ANNUAL REPORT | 2015-03-04 |
| ANNUAL REPORT | 2014-02-03 |
| ANNUAL REPORT | 2013-02-04 |
| ANNUAL REPORT | 2012-02-20 |
| ANNUAL REPORT | 2011-04-22 |
| ANNUAL REPORT | 2010-03-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
