| Entity Name: | JORGE PAOLI-BRUNO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 28 Jun 2012 (13 years ago) |
| Document Number: | P12000058052 |
| FEI/EIN Number | 45-5588726 |
| Address: | 12002 SW 128 CT, Suite 202, Miami, FL 33186 |
| Mail Address: | PO Box 227113, DORAL, FL 33222-7113 |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396094058 | 2012-09-09 | 2012-09-09 | PO BOX 227113, DORAL, FL, 332227113, US | 14505 COMMERCE WAY, SUITE 750, MIAMI LAKES, FL, 330161597, US | |||||||||||||||
|
|||||||||||||||||||
| Name | DR. JORGE PAOLI-BRUNO |
| Role | PRESIDENT |
| Phone | 7873810247 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME 110249 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PAOLI-BRUNO, JORGE | Agent | 12255 SW Flagler Ter, Miami, FL 33184-1533 |
| Name | Role | Address |
|---|---|---|
| PAOLI-BRUNO, JORGE, Dr. | President | PO Box 227113, DORAL, FL 33222-7113 |
| Name | Role | Address |
|---|---|---|
| PAOLI-BRUNO, JORGE, Dr. | Owner | PO Box 227113, DORAL, FL 33222-7113 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-24 | 12002 SW 128 CT, Suite 202, Miami, FL 33186 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-24 | 12255 SW Flagler Ter, Miami, FL 33184-1533 | No data |
| CHANGE OF MAILING ADDRESS | 2013-03-03 | 12002 SW 128 CT, Suite 202, Miami, FL 33186 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-05 |
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-24 |
| ANNUAL REPORT | 2017-02-21 |
| AMENDED ANNUAL REPORT | 2016-08-13 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
