Entity Name: | MOYA-PRIDA MD, INC |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 15 Jan 2009 (16 years ago) |
Document Number: | P09000004328 |
FEI/EIN Number | 264024083 |
Address: | 6520 SW 181 Lane, SW Ranches, FL, 33331, US |
Mail Address: | 6520 SW 181 Lane, SW Ranches, FL, 33331, US |
ZIP code: | 33331 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1700023207 | 2009-01-21 | 2024-05-31 | 1460 S PALM AVE, PEMBROKE PINES, FL, 330255520, US | 1460 S PALM AVE, PEMBROKE PINES, FL, 330255520, US | |||||||||||||||||||
|
Phone | +1 954-239-7486 |
Fax | 9543767289 |
Authorized person
Name | JAYNIER MOYA |
Role | PRESIDENT |
Phone | 3057765822 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | Yes |
Taxonomy Code | 261Q00000X - Clinic/Center |
Is Primary | No |
Name | Role | Address |
---|---|---|
PRIDA KAREN | Agent | 6520 SW 181 Lane, SW Ranches, FL, 33331 |
Name | Role | Address |
---|---|---|
MOYA JAYNIER | President | 6520 SW 181 Lane, SW Ranches, FL, 33331 |
Name | Role | Address |
---|---|---|
PRIDA KAREN | Vice President | 6520 SW 181 Lane, SW Ranches, FL, 33331 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G24000019690 | MOYA MEDICAL | ACTIVE | 2024-02-05 | 2029-12-31 | No data | 1460 S PALM AVE, PEMBROKE PINES, FL, 33025 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2015-01-21 | 6520 SW 181 Lane, SW Ranches, FL 33331 | No data |
CHANGE OF MAILING ADDRESS | 2015-01-21 | 6520 SW 181 Lane, SW Ranches, FL 33331 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2015-01-21 | 6520 SW 181 Lane, SW Ranches, FL 33331 | No data |
REGISTERED AGENT NAME CHANGED | 2010-05-04 | PRIDA, KAREN | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-09 |
ANNUAL REPORT | 2023-01-28 |
ANNUAL REPORT | 2022-04-01 |
ANNUAL REPORT | 2021-03-20 |
ANNUAL REPORT | 2020-03-03 |
ANNUAL REPORT | 2019-02-08 |
ANNUAL REPORT | 2018-03-20 |
ANNUAL REPORT | 2017-01-25 |
ANNUAL REPORT | 2016-03-16 |
ANNUAL REPORT | 2015-01-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State