| Entity Name: | ALBERTO MANZOR, MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Jan 2012 (13 years ago) |
| Document Number: | P12000003989 |
| FEI/EIN Number | 45-4248770 |
| Address: | 3400 SW 130 AVE, HOLLYWOOD, FL, 33027, US |
| Mail Address: | 3400 SW 130 AVE, HOLLYWOOD, FL, 33027, US |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063944767 | 2017-03-31 | 2021-11-08 | 701 E 49TH ST, HIALEAH, FL, 330131965, US | 701 E 49TH ST, HIALEAH, FL, 330131965, US | |||||||||||||||||||
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| Phone | +1 305-823-3000 |
| Fax | 3054560343 |
Authorized person
| Name | ALBERTO MANZOR |
| Role | PRESIDENT |
| Phone | 9542511175 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME109374 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MANZOR ALBERTO | Agent | 3400 SW 130 AVE, HOLLYWOOD, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| MANZOR ALBERTO | President | 3400 SW 130 AVE, HOLLYWOOD, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-01 | 3400 SW 130 AVE, HOLLYWOOD, FL 33027 | No data |
| CHANGE OF MAILING ADDRESS | 2020-05-01 | 3400 SW 130 AVE, HOLLYWOOD, FL 33027 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-05-01 | 3400 SW 130 AVE, HOLLYWOOD, FL 33027 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-03-30 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-03-01 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-03-08 |
| ANNUAL REPORT | 2016-03-25 |
| ANNUAL REPORT | 2015-04-02 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
