| Entity Name: | ALEJANDRO J. GRUNEIRO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Jan 2010 (15 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P10000004678 |
| FEI/EIN Number | 271701303 |
| Address: | 18350 MURDOCK CIRCLE, PORT CHARLOTTE, FL, 33948, US |
| Mail Address: | 18350 MURDOCK CIRCLE, PORT CHARLOTTE, FL, 33948, US |
| ZIP code: | 33948 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033441001 | 2010-02-02 | 2010-02-02 | 18308 MURDOCK CIR, 109, PORT CHARLOTTE, FL, 339481008, US | 18308 MURDOCK CIR, 109, PORT CHARLOTTE, FL, 339481008, US | |||||||||||||||||||||||||
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| Phone | +1 941-625-3411 |
| Fax | 9416251792 |
Authorized person
| Name | DR. ALEJANDRO J GRUNEIRO |
| Role | OWNER |
| Phone | 9416253411 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME97870 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 277603100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WILSON MICHAEL M | Agent | 17801 MURDOCK CIRCLE, PORT CHARLOTTE, FL, 33948 |
| Name | Role | Address |
|---|---|---|
| GRUNEIRO ALEJANDRO J | Director | 18350 MURDOCK CIRCLE, PORT CHARLOTTE, FL, 33948 |
| Name | Role | Address |
|---|---|---|
| McEnroe Mary M | Officer | 18350 Murdock Circle Suite 101, Port Charlotte, FL, 33948 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-19 | 18350 MURDOCK CIRCLE, SUITE 101, PORT CHARLOTTE, FL 33948 | No data |
| CHANGE OF MAILING ADDRESS | 2016-01-19 | 18350 MURDOCK CIRCLE, SUITE 101, PORT CHARLOTTE, FL 33948 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-05-30 | 17801 MURDOCK CIRCLE, SUITE A, PORT CHARLOTTE, FL 33948 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-05-30 | WILSON, MICHAEL M | No data |
| REINSTATEMENT | 2014-05-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-01-19 |
| ANNUAL REPORT | 2015-02-23 |
| Domestic Profit | 2010-01-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
