| Entity Name: | MARK A HERNANDEZ MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 23 Apr 2007 (18 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P07000048739 |
| FEI/EIN Number | 208934534 |
| Address: | 10645 HAMMOCKS BLVD, MIAMI, FL, 33196, US |
| Mail Address: | 10645 HAMMOCKS BLVD, MIAMI, FL, 33196, US |
| ZIP code: | 33196 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902010663 | 2007-05-10 | 2011-09-29 | 12355 SW 76TH ST, MIAMI, FL, 331833601, US | 4101 NW 4TH ST, SUITE 208, PLANTATION, FL, 333172850, US | |||||||||||||||||||||||
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| Phone | +1 786-282-8983 |
| Fax | 3052259011 |
| Phone | +1 954-792-0400 |
| Fax | 3055986536 |
Authorized person
| Name | MR. MARK A HERNANDEZ |
| Role | PRESIDENT |
| Phone | 7862828983 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME83014 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ MARK A | Agent | 10645 HAMMOCKS BLVD, MIAMI, FL, 33196 |
| Name | Role | Address |
|---|---|---|
| MARK A HERNANDEZ, MD | Director | 10645 HAMMOCKS BLVD, MIAMI, FL, 33196 |
| Name | Role | Address |
|---|---|---|
| MARK A HERNANDEZ, MD | President | 10645 HAMMOCKS BLVD, MIAMI, FL, 33196 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-19 | 10645 HAMMOCKS BLVD, #717, MIAMI, FL 33196 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-19 | 10645 HAMMOCKS BLVD, #717, MIAMI, FL 33196 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-10-10 | 10645 HAMMOCKS BLVD, #717, MIAMI, FL 33196 | No data |
| REINSTATEMENT | 2019-10-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-10 | HERNANDEZ, MARK AMD | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| AMENDMENT | 2011-06-03 | No data | No data |
| CANCEL ADM DISS/REV | 2010-03-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J22000508798 | ACTIVE | 50-2017-CA-007064 | PALM BEACH COUNTY CIRCUIT COUR | 2022-04-04 | 2027-11-04 | $356,050.00 | DARMAAN ADEN, P.O. BOX 541835, LAKE WORTH, FL 33454 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-29 |
| REINSTATEMENT | 2019-10-10 |
| ANNUAL REPORT | 2018-02-22 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-03-02 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-04-18 |
| ANNUAL REPORT | 2012-04-12 |
| Amendment | 2011-06-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
