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DANET PICO-LARRALDE MD PA

Company Details

Entity Name: DANET PICO-LARRALDE MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 05 Feb 2016 (9 years ago)
Document Number: P16000012301
FEI/EIN Number 81-1412720
Address: 8785 SW 165 Avenue, Miami, FL, 33193, US
Mail Address: 434 HARDEE ROAD, CORAL GABLES, FL, 33146
ZIP code: 33193
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194267773 2016-11-14 2016-11-14 8785 SW 165TH AVE, SUITE 201, MIAMI, FL, 331935826, US 8785 SW 165TH AVE, SUITE 201, MIAMI, FL, 331935826, US

Contacts

Phone +1 786-828-7171
Fax 7863914582

Authorized person

Name DANET PICO-LARRALDE
Role OWNER
Phone 3056083910

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number ME99952
State FL
Is Primary Yes

Agent

Name Role Address
PICO-LARRALDE DANET Agent 434 HARDEE ROAD, CORAL GABLES, FL, 33146

President

Name Role Address
PICO-LARRALDE DANET President 434 HARDEE ROAD, CORAL GABLES, FL, 33146

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-02-11 8785 SW 165 Avenue, suite 201, Miami, FL 33193 No data

Documents

Name Date
ANNUAL REPORT 2024-02-04
ANNUAL REPORT 2023-02-22
ANNUAL REPORT 2022-01-25
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-02-20
ANNUAL REPORT 2018-01-19
ANNUAL REPORT 2017-02-11
Domestic Profit 2016-02-05

Date of last update: 01 Feb 2025

Sources: Florida Department of State