| Entity Name: | ENDOCRINOLOGY MIAMI, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 May 2014 (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: | P14000039242 |
| FEI/EIN Number | 46-5575264 |
| Address: | 1200 BRICKELL AVENUE, 860, MIAMI, FL, 33131, US |
| Mail Address: | PO BOX 452951, MIAMI, FL, 33245, US |
| ZIP code: | 33131 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336550573 | 2014-05-09 | 2014-09-15 | PO BOX 452951, MIAMI, FL, 332452951, US | 9555 SW 162ND AVE, MIAMI, FL, 331966408, US | |||||||||||||||||
|
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| Phone | +1 786-571-7603 |
Authorized person
| Name | DR. MARISABEL BRAVO |
| Role | PRESIDENT |
| Phone | 7865717603 |
Taxonomy
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| License Number | OS 10173 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| ROBERT ROGERS LAW FIRM, PA | Agent |
| Name | Role | Address |
|---|---|---|
| BRAVO MARISABEL | President | 2516 SW 20TH ST, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| BRAVO MARISABEL | Secretary | 2516 SW 20TH ST, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| BRAVO MARISABEL | Director | 2516 SW 20TH ST, MIAMI, FL, 33145 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-06 |
| Domestic Profit | 2014-05-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
