| Entity Name: | ELIANA BEJARANO, MD, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 08 Mar 2010 (15 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P10000020410 |
| FEI/EIN Number | 27-2057811 |
| Address: | 111 Isle Verde Way, Palm Beach Gardens, FL 33418 |
| Mail Address: | 111 Isle Verde Way, Palm Beach Gardens, FL 33418 |
| ZIP code: | 33418 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932429685 | 2010-06-04 | 2010-06-04 | 420 S STATE ROAD 7, SUITE 170, ROYAL PALM BEACH, FL, 334144303, US | 420 S STATE ROAD 7, SUITE 170, ROYAL PALM BEACH, FL, 334144303, US | |||||||||||||||||||
|
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| Phone | +1 561-420-8490 |
| Fax | 5614208491 |
Authorized person
| Name | DR. ELIANA BEJARANO |
| Role | OWNER |
| Phone | 5614208490 |
Taxonomy
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| License Number | ME101044 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BEJARANO, ELIANA MD | Agent | 111 Isle Verde Way, Palm Beach Gardens, FL 33418 |
| Name | Role | Address |
|---|---|---|
| BEJARANO, ELIANA | President | 111 Isle Verde Way, Palm Beach Gardens, FL 33418 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-29 | 111 Isle Verde Way, Palm Beach Gardens, FL 33418 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-29 | 111 Isle Verde Way, Palm Beach Gardens, FL 33418 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-29 | 111 Isle Verde Way, Palm Beach Gardens, FL 33418 | No data |
| REINSTATEMENT | 2012-11-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-05-01 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-26 |
| REINSTATEMENT | 2012-11-28 |
| ANNUAL REPORT | 2011-04-30 |
| Domestic Profit | 2010-03-08 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
