Entity Name: | DAISY BORROTO MD PA |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 16 Sep 2013 (11 years ago) |
Document Number: | P13000076175 |
FEI/EIN Number | 46-3661008 |
Address: | 8700 W FLAGLER ST, MIAMI, FL, 33174, US |
Mail Address: | 8700 W FLAGLER ST, MIAMI, FL, 33174, US |
ZIP code: | 33174 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1740604289 | 2014-02-04 | 2024-10-19 | PO BOX 832944, MIAMI, FL, 332832944, US | 8700 W FLAGLER ST STE 420, MIAMI, FL, 331742546, US | |||||||||||||||||||
|
Phone | +1 305-608-0656 |
Fax | 7862547084 |
Authorized person
Name | DAISY BORROTO CONDE |
Role | PRESIDENT |
Phone | 3056080656 |
Taxonomy
Taxonomy Code | 2084N0400X - Neurology Physician |
License Number | ME117322 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BORROTO DAISY MD | Agent | 8700 W FLAGLER ST, MIAMI, FL, 33174 |
Name | Role | Address |
---|---|---|
BORROTO DAISY | President | 8700 W FLAGLER ST, MIAMI, FL, 33174 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G18000091504 | SIMON NEUROLOGY CLINIC | ACTIVE | 2018-08-16 | 2028-12-31 | No data | 8700 W FLAGLER ST #420, MIAMI, FL, 33174 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-12-04 | 8700 W FLAGLER ST, #420, MIAMI, FL 33174 | No data |
CHANGE OF MAILING ADDRESS | 2024-12-04 | 8700 W FLAGLER ST, #420, MIAMI, FL 33174 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-12-04 | 8700 W FLAGLER ST, #420, MIAMI, FL 33174 | No data |
Name | Date |
---|---|
AMENDED ANNUAL REPORT | 2024-12-04 |
ANNUAL REPORT | 2024-04-24 |
ANNUAL REPORT | 2023-03-03 |
ANNUAL REPORT | 2022-03-10 |
ANNUAL REPORT | 2021-02-23 |
ANNUAL REPORT | 2020-03-04 |
ANNUAL REPORT | 2019-02-20 |
ANNUAL REPORT | 2018-03-07 |
AMENDED ANNUAL REPORT | 2017-04-11 |
ANNUAL REPORT | 2017-03-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State