| Entity Name: | AVERHOFF AND RODRIGUEZ, MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 04 Aug 2010 (14 years ago) |
| Date of dissolution: | 09 Feb 2012 (13 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 09 Feb 2012 (13 years ago) |
| Document Number: | P10000063891 |
| FEI/EIN Number | 27-3354261 |
| Address: | 20230 NW 5TH STREET, PEMBROKE PINES, FL 33029 |
| Mail Address: | 20230 NW 5TH STREET, PEMBROKE PINES, FL 33029 |
| ZIP code: | 33029 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184932865 | 2010-09-16 | 2010-09-16 | 20230 NW 5TH ST, PEMBROKE PINES, FL, 330293413, US | 20230 NW 5TH ST, PEMBROKE PINES, FL, 330293413, US | |||||||||||||||||||||||||||||||
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| Phone | +1 954-432-0578 |
| Fax | 9544325060 |
Authorized person
| Name | GREIDYS MALETA |
| Role | MANAGER |
| Phone | 9544320578 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0033998 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 29176 |
| State | FL |
| Issuer | MEDICAL LICENSE |
| Number | ME0033998 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MALETA, GREIDYS | Agent | 20230 NW 5TH STREET, PEMBROKE PINES, FL 33029 |
| Name | Role | Address |
|---|---|---|
| MALETA, GREIDYS | Manager | 20230 NW 5TH STREET, PEMBROKE PINES, FL 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2012-02-09 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2012-02-09 |
| ANNUAL REPORT | 2011-01-12 |
| Domestic Profit | 2010-08-04 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
