Entity Name: | CVX GONZALEZ INC |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 01 Aug 2011 (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: | P11000068899 |
Address: | 2500 NW 79 AVE, SUITE 260, DORAL, FL, 33122 |
Mail Address: | 2500 NW 79 AVE, SUITE 260, DORAL, FL, 33122 |
ZIP code: | 33122 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104107119 | 2011-09-02 | 2011-09-19 | 2500 NW 79TH AVE, SUITE 260, DORAL, FL, 331221073, US | 2500 NW 79TH AVE STE 260, DORAL, FL, 331221088, US | |||||||||||||||||||||||||||
|
Phone | +1 305-244-0170 |
Fax | 3058344801 |
Authorized person
Name | RAMON GONZALEZ |
Role | PRESIDENT |
Phone | 3052440170 |
Taxonomy
Taxonomy Code | 333600000X - Pharmacy |
Is Primary | No |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | PH 24828 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
Number | 5707368 |
Name | Role | Address |
---|---|---|
GONZALEZ RAMON A | Agent | 2500 NW 79 AVE, DORAL, FL, 33122 |
Name | Role | Address |
---|---|---|
GONZALEZ RAMON A | President | 2500 NW 79 AVE SUITE 260, DORAL, FL, 33122 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
Name | Date |
---|---|
Domestic Profit | 2011-08-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State