| Entity Name: | MARIA ISABEL LOPEZ MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 20 Oct 2011 (13 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 11 May 2020 (5 years ago) |
| Document Number: | P11000091696 |
| FEI/EIN Number | 45-3638212 |
| Address: | 550 MEMORIAL CIRCLE, SUITE N, ORMOND BEACH, FL 32174 |
| Mail Address: | 550 MEMORIAL CIRCLE, SUITE N, ORMOND BEACH, FL 32174 |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659658771 | 2011-11-03 | 2011-11-03 | 305 MEMORIAL MEDICAL PKWY, SUITE 303, DAYTONA BEACH, FL, 321175168, US | 305 MEMORIAL MEDICAL PKWY, SUITE 303, DAYTONA BEACH, FL, 321175168, US | |||||||||||||||
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| Phone | +1 386-615-8909 |
| Fax | 3866158910 |
Authorized person
| Name | DR. MARIA ISABEL LOPEZ |
| Role | PRESIDENT |
| Phone | 3866158909 |
Taxonomy
| Taxonomy Code | 261QM2500X - Medical Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOPEZ, MARIA ISABEL, Dr. | Agent | 55O MEMORIAL CIRCLE, SUITE N, ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| LOPEZ, MARIA I | President | 550 MEMORIAL CIRCLE, SUITE N ORMOND BEACH, FL 32174 |
| Name | Role | Address |
|---|---|---|
| TREXLER, ELLEN | Vice President | 46 TOMOKA RIDGE WAY, ORMOND BEACH, FL 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2020-05-11 | No data | No data |
| REINSTATEMENT | 2015-11-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-11-23 | 550 MEMORIAL CIRCLE, SUITE N, ORMOND BEACH, FL 32174 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-11-23 | 55O MEMORIAL CIRCLE, SUITE N, ORMOND BEACH, FL 32174 | No data |
| CHANGE OF MAILING ADDRESS | 2015-11-23 | 550 MEMORIAL CIRCLE, SUITE N, ORMOND BEACH, FL 32174 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-11-23 | LOPEZ, MARIA ISABEL, Dr. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-02-26 |
| ANNUAL REPORT | 2021-04-26 |
| Amendment | 2020-05-11 |
| ANNUAL REPORT | 2020-05-02 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-04-01 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
