| Entity Name: | YOEL A. HERNANDEZ MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 03 Feb 2011 (14 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P11000012312 |
| FEI/EIN Number | 27-5041717 |
| Address: | 11303 TEMPLE STREET, COOPER CITY, FL 33330 |
| Mail Address: | 11303 TEMPLE STREET, COOPER CITY, FL 33330 |
| ZIP code: | 33330 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649579681 | 2011-03-16 | 2014-06-25 | 13079 NW 23RD ST, PEMBROKE PINES, FL, 330282549, US | 1951 SW 172ND AVE STE 200, MIRAMAR, FL, 330295613, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-451-6464 |
| Fax | 9542568155 |
| Phone | +1 954-256-8181 |
Authorized person
| Name | YOEL A HERNANDEZ RODRIGUEZ |
| Role | PRESIDENT |
| Phone | 5614516464 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME106099 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 282E00000X - Long Term Care Hospital |
| License Number | ME106099 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 282N00000X - General Acute Care Hospital |
| License Number | ME 106099 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME106099 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ-RODRIGUEZ, YOEL A | Agent | 11303 TEMPLE STREET, COOPER CITY, FL 33330 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ-RODRIGUEZ, YOEL A | President | 11303 TEMPLE STREET, COOPER CITY, FL 33330 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ-RODRIGUEZ, YOEL A | Director | 11303 TEMPLE STREET, COOPER CITY, FL 33330 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2021-01-20 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-20 | HERNANDEZ-RODRIGUEZ, YOEL A | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-08 | 11303 TEMPLE STREET, COOPER CITY, FL 33330 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-08 | 11303 TEMPLE STREET, COOPER CITY, FL 33330 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-08 | 11303 TEMPLE STREET, COOPER CITY, FL 33330 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2021-01-20 |
| ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2018-02-15 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-08 |
| ANNUAL REPORT | 2015-03-28 |
| ANNUAL REPORT | 2014-01-28 |
| ANNUAL REPORT | 2013-02-27 |
| ANNUAL REPORT | 2012-04-30 |
| Domestic Profit | 2011-02-03 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
