| Entity Name: | MLTC-DOCTORS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Jul 2006 (19 years ago) |
| Date of dissolution: | 09 Jul 2007 (18 years ago) |
| Last Event: | VOLUNTARY DISS W/ NOTICE |
| Event Date Filed: | 09 Jul 2007 (18 years ago) |
| Document Number: | P06000089851 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 15392 SW 19 TERRACE, MIAMI, FL, 33185 |
| Mail Address: | 15392 SW 19 TERRACE, MIAMI, FL, 33185 |
| ZIP code: | 33185 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396860482 | 2007-03-20 | 2020-08-22 | 15392 SW 19TH TER, MIAMI, FL, 331855725, US | 1330 NW 1ST AVE, HOMESTEAD, FL, 330304212, US | |||||||||||||||||||||
|
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| Phone | +1 786-573-1770 |
| Fax | 7865731501 |
| Phone | +1 305-248-0271 |
Authorized person
| Name | FRANCISCO FERNANDEZ |
| Role | PRESIDENT |
| Phone | 7865731770 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | OS8777 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ FRANCISCO R | Agent | 15392 SW 19 TERRACE, MIAMI, FL, 33178 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ FRANCISCO R | President | 15392 SW 19 TERRACE, MIAMI, FL, 33185 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ MARK A | Vice President | 4600 SW 67TH AVENUE APT. 261, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| CORONA ABELARDO | Secretary | 11405 NW 62 TERRACE APT. 234, DORAL, FL, 33178 |
| Name | Role | Address |
|---|---|---|
| LOPEZ MANUEL | Treasurer | 7190 SW 66TH AVENUE, MIAMI, FL, 33143 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISS W/ NOTICE | 2007-07-09 | No data | No data |
| Name | Date |
|---|---|
| CORAPVDWN | 2007-07-09 |
| ANNUAL REPORT | 2007-02-14 |
| Domestic Profit | 2006-07-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
