| Entity Name: | ACEVEDO AND HERRERA MD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Feb 2008 (17 years ago) |
| Date of dissolution: | 29 Aug 2018 (6 years ago) |
| Last Event: | VOLUNTARY DISS W/ NOTICE |
| Event Date Filed: | 29 Aug 2018 (6 years ago) |
| Document Number: | P08000020154 |
| FEI/EIN Number | 262100839 |
| Address: | 2400 NW 54TH STREET, MIAMI, FL, 33142, US |
| Mail Address: | 2400 NW 54TH STREET, MIAMI, FL, 33142, US |
| ZIP code: | 33142 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992846521 | 2007-02-08 | 2012-04-25 | 351 NW 42ND AVE, SUITE 101, MIAMI, FL, 331265683, US | 351 NW 42ND AVE, SUITE 101, MIAMI, FL, 331265683, US | |||||||||||||||||||||||||
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| Fax | 3056493262 |
Authorized person
| Name | DR. JOSE A HERRERA |
| Role | SECRETARY |
| Phone | 3056498870 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 373172300 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 90508 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ACEVEDO ARMANDO | Agent | 8961 SW 27TH STREET, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| ACEVEDO ARMANDO | President | 8961 NW 16TH STREET, MIAMI, FL, 33165 |
| Name | Role | Address |
|---|---|---|
| ACEVEDO ARMANDO | Director | 8961 NW 16TH STREET, MIAMI, FL, 33165 |
| HERRERA JOSE A | Director | 1848 NW 16TH STREET, MIAMI, FL, 33125 |
| Name | Role | Address |
|---|---|---|
| HERRERA JOSE A | Vice President | 1848 NW 16TH STREET, MIAMI, FL, 33125 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISS W/ NOTICE | 2018-08-29 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-05-10 | 2400 NW 54TH STREET, MIAMI, FL 33142 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-05-10 | 2400 NW 54TH STREET, MIAMI, FL 33142 | No data |
| PENDING REINSTATEMENT | 2012-02-06 | No data | No data |
| REINSTATEMENT | 2012-02-03 | No data | No data |
| PENDING REINSTATEMENT | 2011-04-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| CORAPVDWN | 2018-08-29 |
| ANNUAL REPORT | 2017-05-10 |
| ANNUAL REPORT | 2016-04-05 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-03-02 |
| ANNUAL REPORT | 2013-04-25 |
| REINSTATEMENT | 2012-02-03 |
| Domestic Profit | 2008-02-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
