| Entity Name: | G. ALVAREZ, MD, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Oct 2009 (15 years ago) |
| Last Event: | ARTICLES OF CORRECTION/NAME CHANGE |
| Event Date Filed: | 16 Oct 2009 (15 years ago) |
| Document Number: | P09000084320 |
| FEI/EIN Number | 271102856 |
| Address: | 604 MEDICAL CARE DR, BRANDON, FL, 33511, US |
| Mail Address: | 604 MEDICAL CARE DR, BRANDON, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619202314 | 2009-10-14 | 2015-12-29 | 604 MEDICAL CARE DR, BRANDON, FL, 335115937, US | 604 MEDICAL CARE DR, BRANDON, FL, 335115937, US | |||||||||||||||||||||||||
|
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| Phone | +1 404-510-1296 |
| Fax | 8772608175 |
Authorized person
| Name | GERMAN ALVAREZ |
| Role | PRESIDENT |
| Phone | 4045101296 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME 104905 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001275300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALVAREZ GERMAN M | Agent | 604 MEDICAL CARE DR, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| ALVAREZ GERMAN M | President | 604 MEDICAL CARE DR, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| Maylin Barrios | Manager | 604 Medical Care Drive, Brandon, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-21 | 604 MEDICAL CARE DR, BRANDON, FL 33511 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-08 | 604 MEDICAL CARE DR, BRANDON, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2014-01-08 | 604 MEDICAL CARE DR, BRANDON, FL 33511 | No data |
| ARTICLES OF CORRECT-ION/NAME CHANGE | 2009-10-16 | G. ALVAREZ, MD, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-03-04 |
| ANNUAL REPORT | 2020-02-20 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-02-23 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-01-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
