| Entity Name: | JORGE FERNANDEZ-SILVA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Aug 2009 (16 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P09000066405 |
| FEI/EIN Number | 270685262 |
| Address: | 3659 SOUTH MIAMI AVENUE, SUITE 5008, MIAMI, FL, 33133 |
| Mail Address: | 8041 SW 54TH COURT, MIAMI, FL, 33143 |
| ZIP code: | 33133 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336370303 | 2009-08-07 | 2009-08-21 | 3659 SOUTH MIAMI AVE, SUITE 5008, MIAMI, FL, 331334221, US | 3659 SOUTH MIAMI AVE, SUITE 5008, MIAMI, FL, 331334221, US | |||||||||||||||||||
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| Phone | +1 305-285-9432 |
| Fax | 3052859004 |
Authorized person
| Name | DR. JORGE A. FERNANDEZ-SILVA |
| Role | OWNER |
| Phone | 3052859432 |
Taxonomy
| Taxonomy Code | 208VP0014X - Interventional Pain Medicine Physician |
| License Number | ME 104722 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ-SILVA JORGE M | Agent | 8041 SW 54TH COURT, MIAMI, FL, 33143 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ-SILVA JORGE M | President | 8041 SW 54TH COURT, MIAMI, FL, 33143 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-16 |
| ANNUAL REPORT | 2010-04-13 |
| Domestic Profit | 2009-08-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
