| Entity Name: | SILVIA M VILLEGAS MD INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 30 Mar 2011 (14 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P11000031565 |
| FEI/EIN Number | 26-1975412 |
| Address: | 777 E 25TH ST UNIT 209, HIALEAH, FL 33013 |
| Mail Address: | 777 E 25TH ST UNIT 209, HIALEAH, FL 33013 |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285928739 | 2011-06-01 | 2011-06-01 | 777 E 25TH ST, UNIT 209, HIALEAH, FL, 330133825, US | 777 E 25TH ST, UNIT 209, HIALEAH, FL, 330133825, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 786-371-9973 |
Authorized person
| Name | SILVIA MARIE VILLEGAS |
| Role | SOLE OWNER/PRESIDENT |
| Phone | 7863719973 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | ME105843 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003530800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VILLEGAS, SILVIA M | Agent | 777 E 25TH ST UNIT 209, HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| VILLEGAS, SILVIA M | President | 777 E 25TH ST UNIT 209, HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| VILLEGAS, SILVIA M | Director | 777 E 25TH ST UNIT 209, HIALEAH, FL 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2013-10-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REINSTATEMENT | 2012-10-31 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-04-28 |
| REINSTATEMENT | 2013-10-09 |
| REINSTATEMENT | 2012-10-31 |
| Domestic Profit | 2011-03-30 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
