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IVAN CARRERAS MD PA

Company Details

Entity Name: IVAN CARRERAS MD PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 15 Apr 2013 (12 years ago)
Document Number: P13000033695
FEI/EIN Number 46-2545925
Address: 45 WEST 17TH STREET, HIALEAH, FL 33010
Mail Address: 45 WEST 17TH STREET, HIALEAH, FL 33010
ZIP code: 33010
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043655020 2013-05-06 2013-07-22 45 W 17TH ST, HIALEAH, FL, 330103023, US 45 W 17TH ST, HIALEAH, FL, 330103023, US

Contacts

Phone +1 305-884-8891
Fax 8882423852

Authorized person

Name DR. IVAN CARRERAS
Role PRESIDENT
Phone 3058848891

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
CARRERAS, IVAN Agent 45 WEST 17TH STREET, HIALEAH, FL 33012

President

Name Role Address
CARRERAS, IVAN President 45 WEST 17TH STREET, HIALEAH, FL 33010

Director

Name Role Address
CARRERAS, IVAN Director 45 WEST 17TH STREET, HIALEAH, FL 33010

Documents

Name Date
ANNUAL REPORT 2024-04-05
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-04-20
ANNUAL REPORT 2021-04-02
ANNUAL REPORT 2020-05-07
ANNUAL REPORT 2019-04-17
ANNUAL REPORT 2018-04-03
ANNUAL REPORT 2017-04-01
ANNUAL REPORT 2016-04-09
ANNUAL REPORT 2015-04-08

Date of last update: 22 Jan 2025

Sources: Florida Department of State