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SAN MARCUS MEDICAL OFFICE INC.

Company Details

Entity Name: SAN MARCUS MEDICAL OFFICE INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 14 Jan 2008 (17 years ago)
Last Event: AMENDMENT AND NAME CHANGE
Event Date Filed: 06 Mar 2014 (11 years ago)
Document Number: P08000004873
FEI/EIN Number 261764969
Address: 16420 NW 59TH AVE, MIAMI LAKES, FL, 33014-5602, US
Mail Address: 16420 NW 59TH AVE, MIAMI LAKES, FL, 33014-5602, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821404104 2014-07-07 2014-07-07 5941 NW 173RD DR, HIALEAH, FL, 330155109, US 5941 NW 173RD DR, HIALEAH, FL, 330155109, US

Contacts

Phone +1 786-615-2713
Fax 7866153023

Authorized person

Name IDALIA ACOSTA
Role PRESIDENT/OWNER
Phone 7866152713

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME66961
State FL
Is Primary Yes

Agent

Name Role Address
ACOSTA IDALIA AM.D. Agent 16420 NW 59TH AVE, MIAMI LAKES, FL, 330145602

President

Name Role Address
ACOSTA IDALIA A President 16420 NW 59TH AVE, MIAMI LAKES, FL, 330145602

Director

Name Role Address
ACOSTA IDALIA A Director 16420 NW 59TH AVE, MIAMI LAKES, FL, 330145602

Vice President

Name Role Address
REYES JESUS Vice President 16420 NW 59TH AVE, MIAMI LAKES, FL, 330145602
PERALTA MANUEL Vice President 16420 NW 59TH AVE, MIAMI LAKES, FL, 330145602

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-04-09 16420 NW 59TH AVE, MIAMI LAKES, FL 33014-5602 No data
CHANGE OF MAILING ADDRESS 2019-04-09 16420 NW 59TH AVE, MIAMI LAKES, FL 33014-5602 No data
REGISTERED AGENT ADDRESS CHANGED 2019-04-09 16420 NW 59TH AVE, MIAMI LAKES, FL 33014-5602 No data
AMENDMENT AND NAME CHANGE 2014-03-06 SAN MARCUS MEDICAL OFFICE INC. No data
REGISTERED AGENT NAME CHANGED 2014-01-28 ACOSTA, IDALIA A., M.D. No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J15000680120 TERMINATED 1000000680209 MIAMI-DADE 2015-06-08 2035-06-17 $ 9,546.41 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828
J12000167752 TERMINATED 1000000255528 DADE 2012-03-01 2032-03-07 $ 580.00 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SOUTH SERVICE CENTER, 8175 NW 12TH ST STE 418, DORAL FL331261828

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-06-28
ANNUAL REPORT 2019-04-09
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-04-25
ANNUAL REPORT 2016-04-30
ANNUAL REPORT 2015-04-24

Date of last update: 01 Jan 2025

Sources: Florida Department of State