Entity Name: | RAMON HUGO SANCHEZ M.D. PA |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 15 Mar 2011 (14 years ago) |
Date of dissolution: | 22 Sep 2017 (7 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 22 Sep 2017 (7 years ago) |
Document Number: | P11000025002 |
FEI/EIN Number | 27-5547710 |
Address: | 4600 N Habana Ave, Suite 32, Tampa, FL 33614 |
Mail Address: | 4600 N Habana Ave, Suite 32, Tampa, FL 33614 |
ZIP code: | 33614 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1811275720 | 2011-07-26 | 2011-07-26 | 4600 N. HABANA AVE., SUITE 32, TAMPA, FL, 33614, US | 4600 N HABANA AVE, SUITE 32, TAMPA, FL, 336147112, US | |||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 813-423-6515 |
Fax | 8135697773 |
Authorized person
Name | DR. RAMON HUGO SANCHEZ |
Role | PHYSICIAN |
Phone | 8138766677 |
Taxonomy
Taxonomy Code | 202C00000X - Independent Medical Examiner Physician |
License Number | ACN395 |
State | FL |
Is Primary | No |
Taxonomy Code | 208D00000X - General Practice Physician |
License Number | ACN395 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | HUMANA |
Number | 536239411315 |
State | FL |
Issuer | CAQH |
Number | 12259143 |
State | FL |
Issuer | BC & BS |
Number | 14EP9 |
State | FL |
Name | Role | Address |
---|---|---|
MILLS, GLORIA J | Agent | 3708 W. BAY TO BAY BLVD, TAMPA, FL 33629 |
Name | Role | Address |
---|---|---|
SANCHEZ, RAMON H | President | 4417 GULFWINDS DR, LUTZ, FL 33558 |
Name | Role | Address |
---|---|---|
SANCHEZ, JULIE A | Vice President | 4417 GULFWINDS DR, LUTZ, FL 33558 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2013-04-29 | 4600 N Habana Ave, Suite 32, Tampa, FL 33614 | No data |
CHANGE OF MAILING ADDRESS | 2013-04-29 | 4600 N Habana Ave, Suite 32, Tampa, FL 33614 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2016-04-26 |
ANNUAL REPORT | 2015-04-30 |
ANNUAL REPORT | 2014-04-29 |
ANNUAL REPORT | 2013-04-29 |
ANNUAL REPORT | 2012-04-27 |
Domestic Profit | 2011-03-15 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State