| Entity Name: | BELKIS DELGADO MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Mar 2010 (15 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 28 Oct 2024 (3 months ago) |
| Document Number: | P10000019278 |
| FEI/EIN Number | 80-0556236 |
| Address: | 4487 NW 36TH ST, MIAMI SPRINGS, FL 33166 |
| Mail Address: | 13320 SW 36TH ST, MIAMI, FL 33175 |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831412824 | 2010-03-05 | 2010-12-14 | 320 NW 135TH AVE, MIAMI, FL, 331821951, US | 630 SW 73RD CT, MIAMI, FL, 331442640, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 305-553-0050 |
| Fax | 7862176873 |
| Phone | +1 305-342-9140 |
Authorized person
| Name | DR. BELKIS DELGADO |
| Role | MEDICAL DOCTOR |
| Phone | 3055530050 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME 103512 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 282N00000X - General Acute Care Hospital |
| License Number | ME103512 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001279100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DELGADO, BELKIS MD | Agent | 4487 NW 36TH ST, MIAMI SPRINGS, FL 33166 |
| Name | Role | Address |
|---|---|---|
| DELGADO, BELKIS | President | 4487 NW 36TH ST, MIAMI SPRINGS, FL 33166 |
| Name | Role | Address |
|---|---|---|
| DELGADO, BELKIS | Secretary | 4487 NW 36TH ST, MIAMI SPRINGS, FL 33166 |
| Name | Role | Address |
|---|---|---|
| DELGADO, BELKIS | Treasurer | 4487 NW 36TH ST, MIAMI SPRINGS, FL 33166 |
| Name | Role | Address |
|---|---|---|
| DELGADO, BELKIS | Director | 4487 NW 36TH ST, MIAMI SPRINGS, FL 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2024-10-28 | BELKIS DELGADO RESEARCH , MD PA | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-28 | 4487 NW 36TH ST, MIAMI SPRINGS, FL 33166 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-30 | 4487 NW 36TH ST, MIAMI SPRINGS, FL 33166 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-30 | 4487 NW 36TH ST, MIAMI SPRINGS, FL 33166 | No data |
| Name | Date |
|---|---|
| Name Change | 2024-10-28 |
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-02-23 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-03-04 |
| ANNUAL REPORT | 2019-03-23 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-06-02 |
| ANNUAL REPORT | 2016-04-14 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
