| Entity Name: | JOSE VALERIO MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 04 Oct 2013 (11 years ago) |
| Date of dissolution: | 24 Nov 2014 (10 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 24 Nov 2014 (10 years ago) |
| Document Number: | P13000082032 |
| FEI/EIN Number | 46-3821741 |
| Address: | 275 Fontaineblue blvd, 150 A, S. MIAMI, FL 33172 |
| Mail Address: | 275 Fontaineblue blvd, 150 A, S. MIAMI, FL 33172 |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912307190 | 2014-08-26 | 2015-01-22 | 9300 SW 87TH AVE, SUITE 6, MIAMI, FL, 331762413, US | 7100 W 20TH AVE, SUITE 616, HIALEAH, FL, 330161897, US | |||||||||||||||||||||||||||||
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| Phone | +1 305-405-8788 |
| Fax | 7863631179 |
| Phone | +1 844-825-3746 |
| Fax | 9543373107 |
Authorized person
| Name | DR. JOSE EDGARDO VALERIO |
| Role | CEO |
| Phone | 8448253746 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME108682 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1619148293 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VALERIO, JOSE | Agent | 275 Fontaineblue blvd, 150 A, S. MIAMI, FL 33172 |
| Name | Role | Address |
|---|---|---|
| VALERIO, JOSE | President | 275 Fontaineblue blvd, 150 A S. MIAMI, FL 33172 |
| Name | Role | Address |
|---|---|---|
| VALERIO, JOSE | Secretary | 275 Fontaineblue blvd, 150 A S. MIAMI, FL 33172 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2014-11-24 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS L14000186198. CONVERSION NUMBER 100000146981 |
| CHANGE OF PRINCIPAL ADDRESS | 2014-09-18 | 275 Fontaineblue blvd, 150 A, S. MIAMI, FL 33172 | No data |
| CHANGE OF MAILING ADDRESS | 2014-09-18 | 275 Fontaineblue blvd, 150 A, S. MIAMI, FL 33172 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-09-18 | 275 Fontaineblue blvd, 150 A, S. MIAMI, FL 33172 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-09-18 |
| Domestic Profit | 2013-10-04 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
