Entity Name: | JULME FAMILY MEDICINE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 23 Apr 2012 (13 years ago) |
Date of dissolution: | 25 Sep 2015 (9 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 25 Sep 2015 (9 years ago) |
Document Number: | P12000038155 |
FEI/EIN Number | 80-0828162 |
Address: | 333 ARTHUR GODFREY RD, STE 702, MIAMI BEACH, FL, 33140 |
Mail Address: | 333 ARTHUR GODFREY RD, STE 702, MIAMI BEACH, FL, 33140 |
ZIP code: | 33140 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1952649170 | 2013-01-23 | 2013-01-23 | PO BOX 398566, MIAMI BEACH, FL, 332398566, US | 333 ARTHUR GODFREY RD, SUITE # 702, MIAMI BEACH, FL, 331403641, US | |||||||||||||||||||||||||
|
Phone | +1 305-538-2160 |
Fax | 3055382120 |
Authorized person
Name | MS. ANGELES C CORDOVA |
Role | OFFICE MANAGER |
Phone | 3055382160 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | ME0064951 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CROSS OF FLORIDA |
Number | 23593 |
State | FL |
Name | Role | Address |
---|---|---|
JULME HENRY R | Agent | 333 ARTHUR GODFREY RD, MIAMI BEACH, FL, 33140 |
Name | Role | Address |
---|---|---|
JULME HENRY R | Director | 333 ARTHUR GODFREY RD, STE 702, MIAMI BEACH, FL, 33140 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2014-04-28 |
ANNUAL REPORT | 2013-04-30 |
Domestic Profit | 2012-04-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State