| Entity Name: | EFRAIN MENDEZ, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 17 Nov 2011 (13 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P11000099609 |
| FEI/EIN Number | 45-3825181 |
| Address: | 1601 NORTH PALM AVENUE, STE.110A, PEMBROKE PINES, FL 33026 |
| Mail Address: | 1601 NORTH PALM AVENUE, STE.110A, PEMBROKE PINES, FL 33026 |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003175308 | 2012-05-08 | 2012-05-08 | 1601 N PALM AVE, SUITE 110A, PEMBROKE PINES, FL, 330263200, US | 1601 N PALM AVE, SUITE 110A, PEMBROKE PINES, FL, 330263200, US | |||||||||||||||||||
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| Phone | +1 954-399-8422 |
| Fax | 9543998001 |
Authorized person
| Name | DR. EFRAIN MENDEZ |
| Role | OWNER |
| Phone | 9543998422 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | 99003 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MENDEZ, EFRAIN | Agent | 1601 NORTH PALM AVENUE, STE.110A, PEMBROKE PINES, FL 33026 |
| Name | Role | Address |
|---|---|---|
| MENDEZ, EFRAIN | President | 1601 NORTH PALM AVENUE, STE.110A PEMBROKE PINES, FL 33026 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-07-16 | 1601 NORTH PALM AVENUE, STE.110A, PEMBROKE PINES, FL 33026 | No data |
| CHANGE OF MAILING ADDRESS | 2012-07-16 | 1601 NORTH PALM AVENUE, STE.110A, PEMBROKE PINES, FL 33026 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-07-16 | 1601 NORTH PALM AVENUE, STE.110A, PEMBROKE PINES, FL 33026 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-07-16 |
| ANNUAL REPORT | 2012-04-30 |
| Domestic Profit | 2011-11-17 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
