| Entity Name: | FEDERICO DUMENIGO, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 25 Jun 2007 (18 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P07000073520 |
| FEI/EIN Number | 26-0481094 |
| Address: | 830 PIZARRO STREET, CORAL GABLES, FL 33134 |
| Mail Address: | 830 PIZARRO STREET, CORAL GABLES, FL 33134 |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285875625 | 2009-03-16 | 2010-06-14 | 78 SW 13TH AVE, SUITE 201, MIAMI, FL, 331352479, US | 78 SW 13TH AVE, SUITE 201, MIAMI, FL, 331352479, US | |||||||||||||||||||||||||
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| Phone | +1 305-631-0470 |
| Fax | 3056319962 |
Authorized person
| Name | DR. FEDERICO DUMENIGO |
| Role | OWNER |
| Phone | 3056310470 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | E14379 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 049717700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DUMENIGO, FEDERICO | Agent | 830 PIZARRO STREET, CORAL GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| DUMENIGO, FEDERICO | President | 830 PIZARRO STREET, CORAL GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| DUMENIGO, FEDERICO | Secretary | 830 PIZARRO STREET, CORAL GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| DUMENIGO, FEDERICO | Director | 830 PIZARRO STREET, CORAL GABLES, FL 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-30 | 830 PIZARRO STREET, CORAL GABLES, FL 33134 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-30 | 830 PIZARRO STREET, CORAL GABLES, FL 33134 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-30 | 830 PIZARRO STREET, CORAL GABLES, FL 33134 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-28 | DUMENIGO, FEDERICO | No data |
| NAME CHANGE AMENDMENT | 2009-03-27 | FEDERICO DUMENIGO, MD, PA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-19 |
| ANNUAL REPORT | 2012-05-01 |
| ANNUAL REPORT | 2011-04-28 |
| ANNUAL REPORT | 2010-03-15 |
| Name Change | 2009-03-27 |
| ANNUAL REPORT | 2009-03-16 |
| ANNUAL REPORT | 2008-07-08 |
| Domestic Profit | 2007-06-25 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
