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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
PICO-LARRALDE DANET | Agent | 434 HARDEE ROAD, CORAL GABLES, FL, 33146 |
Name | Role | Address |
---|---|---|
PICO-LARRALDE DANET | President | 434 HARDEE ROAD, CORAL GABLES, FL, 33146 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2017-02-11 | 8785 SW 165 Avenue, suite 201, Miami, FL 33193 | No data |
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