| Entity Name: | PRIME SOUTH FLORIDA P.A INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 Oct 2013 (11 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P13000088648 |
| Address: | 11285 SW 211 ST, SUITE 405, MIAMI, FL, 33189 |
| Mail Address: | 11285 SW 211 ST, SUITE 405, MIAMI, FL, 33189 |
| ZIP code: | 33189 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568890523 | 2013-10-29 | 2013-11-04 | 11285 SW 211TH ST STE 205, MIAMI, FL, 331892211, US | 11285 SW 211TH ST STE 205, MIAMI, FL, 331892211, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 305-378-9968 |
Authorized person
| Name | LISMELYS TRUJILLO GAMA |
| Role | PRESIDENT |
| Phone | 3053789968 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | PA9100183 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TRUJILLO GAMA LISMELYS | Agent | 11285 SW 211 ST, MIAMI, FL, 33189 |
| Name | Role | Address |
|---|---|---|
| TRUJILLO GAMA LISMELYS | President | 11285 SW 211 ST SUITE 405, MIAMI, FL, 33189 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2013-10-29 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
