| Entity Name: | HUGO MARTIN ESPINOSA MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Nov 2013 (11 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P13000092205 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 1198 VENETIAN WAY, APT. 213, MIAMI BEACH, FL, 33139, US |
| Mail Address: | 1198 VENETIAN WAY, APT. 213, MIAMI BEACH, FL, 33139, US |
| ZIP code: | 33139 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376950386 | 2014-07-22 | 2014-07-22 | 7171 SW 24TH ST, STE # 104, MIAMI, FL, 331551449, US | 7171 SW 24TH ST, STE # 104, MIAMI, FL, 331551449, US | |||||||||||||||||||||||||
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| Phone | +1 786-518-3843 |
| Fax | 7865183856 |
Authorized person
| Name | HUGO MARTIN ESPINOSA |
| Role | OWNER |
| Phone | 7865183843 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME116074 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009154400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MICHAEL L. WOLOWITZ PA | Agent | 3692 GRAND AVENUE, MIAMI, FL, 33133 |
| Name | Role | Address |
|---|---|---|
| ESPINOSA HUGO M | President | 1198 VENETIAN WAY, APT. 213, MIAMI BEACH, FL, 33139 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000049191 | DREAMTEAM & RESEARCH, INC. | EXPIRED | 2014-05-19 | 2019-12-31 | No data | 7811 CORAL WAY #130, MIAMI, FL, 33155 |
| G13000123513 | GRAND LIVING 21 | EXPIRED | 2013-12-17 | 2018-12-31 | No data | 1198 VENETIAN WAY, APT. 202, MIAMI BEACH, FL, 33139 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-23 | 1198 VENETIAN WAY, APT. 213, MIAMI BEACH, FL 33139 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-23 | 1198 VENETIAN WAY, APT. 213, MIAMI BEACH, FL 33139 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-23 |
| ANNUAL REPORT | 2014-03-26 |
| Domestic Profit | 2013-11-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
