| Entity Name: | EBERWEIN AND SPAULDING MEDICAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Jul 2007 (18 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: | P07000084946 |
| FEI/EIN Number | 260617160 |
| Address: | 7400 NORTH KENDALL DRIVE, SUITE 302, MIAMI, FL, 33156 |
| Mail Address: | 7400 NORTH KENDALL DRIVE, SUITE 302, MIAMI, FL, 33156 |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134313349 | 2007-08-30 | 2008-04-20 | 11760 SW 40TH ST STE 112, MIAMI, FL, 331753589, US | 11760 SW 40TH ST STE 112, MIAMI, FL, 331753589, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 305-485-7979 |
| Fax | 3054853533 |
Authorized person
| Name | DR. RUDOLPH EBERWEIN |
| Role | DIRECTOR |
| Phone | 7863487314 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME83258 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EBERWEIN RUDOLPH | Agent | 7513 SW 188TH TERRACE, MIAMI, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| EBERWEIN RUDOLPH | Director | 7513 SW 188TH TERRACE, MIAMI, FL, 33157 |
| SPAULDING JODI | Director | 11268 NW 77TH TERRACE, MIAMI, FL, 33178 |
| EBERWEIN KEISHA M | Director | 7513 SW 188 TERR, MIAMI, FL, 33157 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-24 | 7400 NORTH KENDALL DRIVE, SUITE 302, MIAMI, FL 33156 | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-24 | 7400 NORTH KENDALL DRIVE, SUITE 302, MIAMI, FL 33156 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-04-24 |
| Domestic Profit | 2007-07-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
