| Entity Name: | RAFAEL A GARCIA MD, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 Aug 2014 (10 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P14000064420 |
| FEI/EIN Number | 47-1524013 |
| Address: | 235 WEST 49 STREET, HIALEAH, FL 33012 |
| Mail Address: | 235 WEST 49 STREET, HIALEAH, FL 33012 |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952898082 | 2018-04-14 | 2018-04-14 | 235 W 49TH ST, HIALEAH, FL, 330123713, US | 235 W 49TH ST, HIALEAH, FL, 330123713, US | |||||||||||||||||||||||||
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| Phone | +1 786-703-1536 |
| Fax | 3053972725 |
Authorized person
| Name | RAFAEL A GARCIA |
| Role | PRESIDENT |
| Phone | 7867031536 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | ME121040 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 013467700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARCIA, RAFAEL A | Agent | 3128 CORAL WAY, MIAMI, FL 33145 |
| Name | Role | Address |
|---|---|---|
| GARCIA, RAFAEL A | President | 3128 CORAL WAY, MIAMI, FL 33145 |
| Name | Role | Address |
|---|---|---|
| GARCIA, RAFAEL A | Secretary | 3128 CORAL WAY, MIAMI, FL 33145 |
| Name | Role | Address |
|---|---|---|
| GARCIA, RAFAEL A | Director | 3128 CORAL WAY, MIAMI, FL 33145 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-21 | 235 WEST 49 STREET, HIALEAH, FL 33012 | No data |
| CHANGE OF MAILING ADDRESS | 2018-02-21 | 235 WEST 49 STREET, HIALEAH, FL 33012 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-04-08 |
| ANNUAL REPORT | 2015-04-10 |
| Domestic Profit | 2014-08-01 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
