| Entity Name: | M. I. LOPEZ MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 22 Sep 2011 (13 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: | P11000083563 |
| Address: | 305 MEMORIAL MEDICAL PARKWAY, SUITE 303, DAYTONA BEACH, FL 32117 |
| Mail Address: | 305 MEMORIAL MEDICAL PARKWAY, SUITE 303, DAYTONA BEACH, FL 32117 |
| ZIP code: | 32117 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346527470 | 2011-11-03 | 2011-11-03 | 305 MEMORIAL MEDICAL PARKWAY, SUITE 303, DAYTONA BEACH, FL, 32117, US | 305 MEMORIAL MEDICAL PKWY, SUITE 303, DAYTONA BEACH, FL, 321175168, US | |||||||||||||||
|
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| Phone | +1 386-672-8101 |
| Fax | 3866728102 |
Authorized person
| Name | DR. MARIA I LOPEZ |
| Role | PRESIDENT |
| Phone | 3866728101 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| PHYSICIANS RESOURCE LLC | Agent |
| Name | Role | Address |
|---|---|---|
| LOPEZ, MARIA I | Director | 305 MEMORIAL MEDICAL PARKWAY SUITE 303, DAYTONA BEACH, FL 32117 |
| Name | Role | Address |
|---|---|---|
| LOPEZ, MARIA I | President | 305 MEMORIAL MEDICAL PARKWAY SUITE 303, DAYTONA BEACH, FL 32117 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2011-09-22 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
