| Entity Name: | PABLO W CONCEPCION MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 30 Sep 2010 (14 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P10000079956 |
| FEI/EIN Number | 27-3583696 |
| Address: | 100 ALMERIA AVENUE, SUITE 200, CORAL GABLES, FL 33134 |
| Mail Address: | P.O. BOX 837, GULFBREEZE, FL 32562 |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225338254 | 2010-10-25 | 2010-10-25 | 351 NW 42ND AVE, SUITE 404, MIAMI, FL, 331265683, US | 351 NW 42ND AVE, SUITE 404, MIAMI, FL, 331265683, US | |||||||||||||||
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| Phone | +1 305-649-3171 |
| Fax | 3056493173 |
Authorized person
| Name | PABLO W CONCEPCION |
| Role | PRESIDENT |
| Phone | 3056493171 |
Taxonomy
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CONCEPCION, PABLO W | Agent | 100 ALMERIA AVENUE, SUITE 100, CORAL GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| CONCEPCION, PABLO W | President | 100 ALMERIA AVENUE #200, CORAL GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| CONCEPCION, PABLO W | Director | 100 ALMERIA AVENUE #200, CORAL GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| CONCEPCION, PABLO W | Treasurer | 100 ALMERIA AVENUE #200, CORAL GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| CONCEPCION, PABLO W | Secretary | 100 ALMERIA AVENUE #200, CORAL GABLES, FL 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-26 | 100 ALMERIA AVENUE, SUITE 200, CORAL GABLES, FL 33134 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-26 | 100 ALMERIA AVENUE, SUITE 200, CORAL GABLES, FL 33134 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-26 | CONCEPCION, PABLO W | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-26 |
| Domestic Profit | 2010-09-30 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
