| Entity Name: | CAROLINA VILLANUEVA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Oct 2011 (13 years ago) |
| Date of dissolution: | 23 Apr 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Apr 2021 (4 years ago) |
| Document Number: | P11000094134 |
| FEI/EIN Number | 453696712 |
| Address: | 1121 CRANDON BLVD, APT F207, KEY BISCAYNE, FL, 33149, US |
| Mail Address: | 1121 CRANDON BLVD, APT F207, KEY BISCAYNE, FL, 33149, US |
| ZIP code: | 33149 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033483557 | 2012-03-01 | 2012-03-01 | 1000 5TH ST, SUITE 200, MIAMI BEACH, FL, 331396508, US | 1000 5TH ST, SUITE 200, MIAMI BEACH, FL, 331396508, US | |||||||||||||||||
|
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| Phone | +1 786-399-6028 |
Authorized person
| Name | CAROLINA VILLANUEVA |
| Role | MD / OWNER |
| Phone | 7863996028 |
Taxonomy
| Taxonomy Code | 2080A0000X - Pediatric Adolescent Medicine Physician |
| License Number | ME96337 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| THE LAW OFFICES OF MAX A. ADAMS, ESQ., PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| VILLANUEVA CAROLINA | President | 1121 CRANDON BLVD, KEY BISCAYNE, FL, 33149 |
| Name | Role | Address |
|---|---|---|
| VILLANUEVA CAROLINA | Director | 1121 CRANDON BLVD, KEY BISCAYNE, FL, 33149 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-21 | 4929 SW 74TH CT, MIAMI, FL 33155 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-24 | 1121 CRANDON BLVD, APT F207, KEY BISCAYNE, FL 33149 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-27 | 1121 CRANDON BLVD, APT F207, KEY BISCAYNE, FL 33149 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-05-01 | THE LAW OFFICES OF MAX A ADAMS ESQ PLLC | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-04-23 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-04-24 |
| ANNUAL REPORT | 2019-03-27 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-03-01 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-03-20 |
| ANNUAL REPORT | 2014-04-24 |
| ANNUAL REPORT | 2013-04-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
