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LVN MEDICAL OFFICE AND PHYSICAL THERAPY CORP

Company Details

Entity Name: LVN MEDICAL OFFICE AND PHYSICAL THERAPY CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 03 Apr 2017 (8 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: P17000029499
FEI/EIN Number 82-1041852
Address: 1701 W FLAGLER STREET, SUITE #322, MIAMI, FL, 33135
Mail Address: 1701 W FLAGLER STREET, SUITE #322, MIAMI, FL, 33135
ZIP code: 33135
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366957326 2017-12-12 2017-12-12 1406 SE 46TH LN STE 10, CAPE CORAL, FL, 339048684, US 1406 SE 46TH LN STE 10, CAPE CORAL, FL, 339048684, US

Contacts

Phone +1 239-541-9150
Fax 2395419181

Authorized person

Name YUDITH SIMON
Role VP
Phone 3058034502

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Agent

Name Role Address
GONZALEZ MARCELINO Agent 1701 W FLAGLER STREET, MIAMI, FL, 33135

President

Name Role Address
ECHEVARRIA RAISA President 1701 W FLAGLER STREET #322, MIAMI, FL, 33135

Vice President

Name Role Address
ALFONSO RODOLFO Vice President 1701 W FLAGLER STREET #322, MIAMI, FL, 33135

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
REGISTERED AGENT ADDRESS CHANGED 2019-03-28 1701 W FLAGLER STREET, SUITE #322, MIAMI, FL 33135 No data
AMENDMENT 2019-03-28 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-03-28 1701 W FLAGLER STREET, SUITE #322, MIAMI, FL 33135 No data
CHANGE OF MAILING ADDRESS 2019-03-28 1701 W FLAGLER STREET, SUITE #322, MIAMI, FL 33135 No data
REGISTERED AGENT NAME CHANGED 2018-11-29 GONZALEZ, MARCELINO No data
REINSTATEMENT 2018-11-29 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data
AMENDMENT 2017-11-21 No data No data
AMENDMENT 2017-11-15 No data No data

Documents

Name Date
Amendment 2019-03-28
REINSTATEMENT 2018-11-29
Amendment 2017-11-21
Amendment 2017-11-15
Domestic Profit 2017-04-03

Date of last update: 03 Feb 2025

Sources: Florida Department of State