| Entity Name: | MAGDALENA BELTRE, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 Sep 2010 (14 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P10000076009 |
| FEI/EIN Number | 273519198 |
| Address: | 106 BOSTON AVE, 206, ALTAMONTE SPRINGS, FL, 32701 |
| Mail Address: | 106 BOSTON AVE, 206, ALTAMONTE SPRINGS, FL, 32701 |
| ZIP code: | 32701 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972783173 | 2007-11-06 | 2011-03-22 | 106 BOSTON AVE, 206, ALTAMONTE SPRINGS, FL, 327014731, US | 106 BOSTON AVENUE, 206, ALTAMONTE SPRINGS, FL, 327017854, US | |||||||||||||||||||||||||
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| Phone | +1 407-339-2910 |
| Fax | 4078307801 |
Authorized person
| Name | MAGDALENA GUILLERMINA BELTRE |
| Role | OWNER |
| Phone | 4073392910 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME73367 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 252739100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BELTRE MAGDALENA G | Agent | 106 BOSTON AVE., ALTAMONTE SPRINGS, FL, 32701 |
| Name | Role | Address |
|---|---|---|
| BELTRE MAGDALENA G | President | 106 BOSTON AVE SUIT 206, ALTAMONTE SPRINGS, FL, 32701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-02-08 |
| ANNUAL REPORT | 2012-04-25 |
| ANNUAL REPORT | 2011-04-25 |
| Domestic Profit | 2010-09-16 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
