| Entity Name: | JORGE L GARCIA MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 14 Mar 2012 (13 years ago) |
| Date of dissolution: | 18 Jan 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 18 Jan 2020 (5 years ago) |
| Document Number: | P12000025153 |
| FEI/EIN Number | 45-4823788 |
| Address: | 1442 SW 118 Ct, MIAMI, FL 33184 |
| Mail Address: | 1442 SW 118 Ct, MIAMI, FL 33184 |
| ZIP code: | 33184 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346669918 | 2014-04-10 | 2014-04-10 | 1442 SW 118TH CT, MIAMI, FL, 331842541, US | 8300 SW 8TH ST, SUITE 108, MIAMI, FL, 331444100, US | |||||||||||||||||||||||||||||
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| Phone | +1 305-229-1244 |
Authorized person
| Name | JORGE LUIS GARCIA |
| Role | OWNER |
| Phone | 3052826035 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ACN394 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FLORIDA MEDICAL LICENSE |
| Number | ACN394 |
| State | FL |
| Issuer | MEDICAID |
| Number | 004423100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARCIA, JORGE L, Dr. | Agent | 1442 SW 118 Ct, MIAMI, FL 33184 |
| Name | Role | Address |
|---|---|---|
| GARCIA, JORGE L, Dr. | Director | 1442 SW 118 Ct, MIAMI, FL 33184 |
| Name | Role | Address |
|---|---|---|
| GARCIA, JORGE L, Dr. | President | 1442 SW 118 Ct, MIAMI, FL 33184 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-01-18 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-01-12 | 1442 SW 118 Ct, MIAMI, FL 33184 | No data |
| CHANGE OF MAILING ADDRESS | 2013-01-12 | 1442 SW 118 Ct, MIAMI, FL 33184 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-01-12 | GARCIA, JORGE L, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-12 | 1442 SW 118 Ct, MIAMI, FL 33184 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J20000113999 | ACTIVE | 19 3973 CA 01 | MIAMI DADE CO | 2020-02-19 | 2025-02-25 | $53,912.20 | BARON SEDAGHAT, C/O MICHAEL W. SKOP, ESQ, 6808 GRIFFIN ROAD, DAVIE, FLORIDA 33314 |
| J20000186599 | ACTIVE | 19 3973 CA 01 | MIAMI DADE CO | 2020-02-19 | 2025-03-30 | $53,912.20 | BARON SEDAGHAT C/O MICHAEL W. SKOP, ESQ, 6808 GRIFFIN ROAD, DAVIE, FLORIDA 33314 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-01-18 |
| ANNUAL REPORT | 2019-01-22 |
| ANNUAL REPORT | 2018-02-19 |
| ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-04-01 |
| ANNUAL REPORT | 2014-04-22 |
| ANNUAL REPORT | 2013-01-12 |
| Domestic Profit | 2012-03-14 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
