| Entity Name: | SHAYE FAMILY PRACTICE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 20 Aug 2012 (12 years ago) |
| Date of dissolution: | 26 Jul 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 Jul 2017 (8 years ago) |
| Document Number: | P12000071684 |
| FEI/EIN Number | 46-0854790 |
| Address: | 2700 SW 137 AVE, MIAMI, FL 33175 |
| Mail Address: | 2700 SW 137 AVE, MIAMI, FL 33175 |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629320932 | 2012-10-10 | 2015-03-03 | 2700 SW 137TH AVE, MIAMI, FL, 331756324, US | 2700 SW 137TH AVE, MIAMI, FL, 331756324, US | |||||||||||||||
|
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| Phone | +1 305-229-1890 |
| Fax | 3052297204 |
Authorized person
| Name | GLEISY VAZQUEZ |
| Role | PRESIDENT |
| Phone | 3052291890 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GLEISY, VAZQUEZ | Agent | 2700 SW 137 AVE, MIAMI, FL 33175 |
| Name | Role | Address |
|---|---|---|
| VAZQUEZ, GLEISY | President | 2700 SW 137 AVE, MIAMI, FL 33175 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000046152 | LOS ANGELES MEDICAL CENTER | EXPIRED | 2014-05-09 | 2019-12-31 | No data | 2468 SW 137 AVE, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-07-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-09-27 | GLEISY, VAZQUEZ | No data |
| REINSTATEMENT | 2016-09-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-15 | 2700 SW 137 AVE, MIAMI, FL 33175 | No data |
| AMENDMENT | 2014-08-05 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-08-05 | 2700 SW 137 AVE, MIAMI, FL 33175 | No data |
| CHANGE OF MAILING ADDRESS | 2014-08-05 | 2700 SW 137 AVE, MIAMI, FL 33175 | No data |
| AMENDMENT | 2013-06-07 | No data | No data |
| AMENDMENT | 2013-05-15 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J17000186934 | TERMINATED | 17-000166 CA (31) | CIRCUIT, MIAMI-DADE COUNTY, FL | 2017-03-23 | 2022-04-05 | $22,502.61 | NATIONAL FUNDING, INC., 9820 TOWNE CENTRE DRIVE, SUITE 200, SAN DIEGO, CA 92121 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-17 |
| REINSTATEMENT | 2016-09-27 |
| ANNUAL REPORT | 2015-03-15 |
| Amendment | 2014-08-05 |
| ANNUAL REPORT | 2014-01-28 |
| Amendment | 2013-06-07 |
| Amendment | 2013-05-15 |
| ANNUAL REPORT | 2013-04-25 |
| Amendment and Name Change | 2013-04-23 |
| Amendment and Name Change | 2013-04-16 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
