| Entity Name: | DE LA PAZ MEDICAL AND WEIGHT LOSS, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Jul 2011 (14 years ago) |
| Date of dissolution: | 17 Jan 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 17 Jan 2017 (8 years ago) |
| Document Number: | P11000064299 |
| FEI/EIN Number | 371656941 |
| Address: | 18503 Pines Blvd, Suite 311, PEMBROKE PINES, FL, 33029, US |
| Mail Address: | PO BOX 820897, SOUTH FLORIDA, FL, 33082 |
| ZIP code: | 33029 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902175292 | 2011-12-15 | 2014-02-14 | PO BOX 820897, SOUTH FLORIDA, FL, 330820897, US | 12550 PINES BLVD, PEMBROKE PINES, FL, 330271713, US | |||||||||||||||||||
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| Phone | +1 888-920-5599 |
| Fax | 8889219449 |
Authorized person
| Name | DR. YIRA L DE LA PAZ |
| Role | PRESIDENT |
| Phone | 8889205599 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME89466 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DE LA PAZ YIRA L | Agent | 320 S FLAMINGO RD, PEMBROKE PINES, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| DE LA PAZ YIRA | President | 320 S FLAMINGO RD, #152, PEMBROKE PINES, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-01-17 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-27 | 18503 Pines Blvd, Suite 311, PEMBROKE PINES, FL 33029 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-02-25 | 320 S FLAMINGO RD, 152, PEMBROKE PINES, FL 33027 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-27 |
| ANNUAL REPORT | 2015-02-25 |
| ANNUAL REPORT | 2014-03-19 |
| ANNUAL REPORT | 2013-04-21 |
| ANNUAL REPORT | 2012-02-25 |
| Domestic Profit | 2011-07-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
