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MOYA-PRIDA MD, INC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
PRIDA KAREN Agent 6520 SW 181 Lane, SW Ranches, FL, 33331

President

Name Role Address
MOYA JAYNIER President 6520 SW 181 Lane, SW Ranches, FL, 33331

Vice President

Name Role Address
PRIDA KAREN Vice President 6520 SW 181 Lane, SW Ranches, FL, 33331

Fictitious Names

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

Events

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

Documents

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