| Entity Name: | J.C. MACHADO, JR.,M.D.,P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 02 Dec 2009 (15 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 26 Mar 2010 (15 years ago) |
| Document Number: | P09000097635 |
| FEI/EIN Number | 01-0959321 |
| Address: | 15536 S.W. 36 TERRACE, MIAMI, FL 33185 |
| Mail Address: | 15536 S.W. 36 TERRACE, MIAMI, FL 33185 |
| ZIP code: | 33185 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982984175 | 2011-08-19 | 2011-08-19 | 4800 RIVIERA DR, CORAL GABLES, FL, 331461737, US | 4800 RIVIERA DR, CORAL GABLES, FL, 331461737, US | |||||||||||||||||||||||||
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| Phone | +1 305-450-2774 |
| Fax | 8774033837 |
Authorized person
| Name | DR. JULIO C MACHADO JR. |
| Role | PD |
| Phone | 3054502774 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME0056588 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 051907300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MACHADO, CARLOS MESQ. | Agent | 1200 Brickell Avenue, SUITE 950, Miami, FL 33131 |
| Name | Role | Address |
|---|---|---|
| MACHADO, JULIO CJR. | President | 15536 S.W. 36 TERRACE, MIAMI, FL 33185 |
| Name | Role | Address |
|---|---|---|
| MACHADO, JULIO CJR. | Director | 15536 S.W. 36 TERRACE, MIAMI, FL 33185 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-05 | 1200 Brickell Avenue, SUITE 950, Miami, FL 33131 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-05 | 15536 S.W. 36 TERRACE, MIAMI, FL 33185 | No data |
| CHANGE OF MAILING ADDRESS | 2020-02-05 | 15536 S.W. 36 TERRACE, MIAMI, FL 33185 | No data |
| NAME CHANGE AMENDMENT | 2010-03-26 | J.C. MACHADO, JR.,M.D.,P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-03-05 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-02-05 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-03-02 |
| ANNUAL REPORT | 2016-03-26 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
