| Entity Name: | JGN MEDICAL, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Dec 2016 (8 years ago) |
| Date of dissolution: | 24 Oct 2017 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 24 Oct 2017 (7 years ago) |
| Document Number: | P16000096830 |
| FEI/EIN Number | 814638199 |
| Address: | 3100 DOUGLAS ROAD, CORAL GABLES, FL, 33134, US |
| Mail Address: | P.O. BOX 45-1836, MIAMI, FL, 33245-1836, US |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902342827 | 2017-01-17 | 2017-01-17 | PO BOX 451836, MIAMI, FL, 332451836, US | 3100 S DOUGLAS RD, CORAL GABLES, FL, 331346914, US | |||||||||||||||||
|
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| Phone | +1 786-897-9956 |
Authorized person
| Name | DR. JAD GHANDOUR |
| Role | PRESIDENT |
| Phone | 7868979956 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME 121532 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GHANDOUR JAD | Agent | 1440 BRICKELL BAY DRIVE, MIAMI, FL, 33131 |
| Name | Role | Address |
|---|---|---|
| GHANDOUR JAD MD | President | 1440 BRICKELL BAY DRIVE, APT 508, MIAMI, FL, 33131 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-10-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-12-28 | 3100 DOUGLAS ROAD, CORAL GABLES, FL 33134 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-03-11 |
| Domestic Profit | 2016-12-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
