| Entity Name: | MALVEHY MEDICAL, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Dec 2012 (12 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P12000103695 |
| FEI/EIN Number | 46-1713962 |
| Address: | 400 W. 41 ST #311, MIAMI BEACH, FL 33140 |
| Mail Address: | 400 W. 41 ST #311, 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 | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225452576 | 2014-02-06 | 2014-02-06 | 400 W 41ST ST, SUITE 311, MIAMI BEACH, FL, 331403516, US | 400 W 41ST ST, SUITE 311, MIAMI BEACH, FL, 331403516, US | |||||||||||||||||||||||||
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| Phone | +1 305-763-8734 |
| Fax | 3054249226 |
Authorized person
| Name | DR. MARIO A. MALVEHY |
| Role | MEDICAL DIRECTOR |
| Phone | 3057638734 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| License Number | ME114670 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 89134R7 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Business to serve as RA | Agent | 400 West 41 Street, #311, Miami Beach, FL 33140 |
| Name | Role | Address |
|---|---|---|
| MALVEHY, M. ALBERT M.D. | President | 900 TENDILLA AVENUE, CORAL GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| MALVEHY, M. ALBERT M.D. | Secretary | 900 TENDILLA AVENUE, CORAL GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| MALVEHY, M. ALBERT M.D. | Treasurer | 900 TENDILLA AVENUE, CORAL GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| MALVEHY, M. ALBERT M.D. | Director | 900 TENDILLA AVENUE, CORAL GABLES, FL 33134 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000013194 | MIAMI BEACH VEIN INSTITUTE | EXPIRED | 2014-02-06 | 2019-12-31 | No data | 400 ARTHUR GODFREY ROAD #311, MIAMI BEACH, FL, 33140 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-02-23 | Business to serve as RA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-02-23 | 400 West 41 Street, #311, Miami Beach, FL 33140 | No data |
| AMENDMENT AND NAME CHANGE | 2014-01-31 | MALVEHY MEDICAL, P.A. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-31 | 400 W. 41 ST #311, MIAMI BEACH, FL 33140 | No data |
| CHANGE OF MAILING ADDRESS | 2014-01-31 | 400 W. 41 ST #311, MIAMI BEACH, FL 33140 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-04-04 |
| Amendment and Name Change | 2014-01-31 |
| ANNUAL REPORT | 2013-03-06 |
| Domestic Profit | 2012-12-26 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
