| Entity Name: | MYFLORIDACLINIC PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 30 Jun 2017 (8 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P17000056762 |
| Address: | 1800 SW 27 AVE, 214, MIAMI, FL 33145 |
| Mail Address: | 1800 SW 27 AVE, 214, MIAMI, FL 33145 |
| ZIP code: | 33145 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336663541 | 2017-07-29 | 2022-07-21 | 1800 SW 27TH AVE STE 214, MIAMI, FL, 331452455, US | 1800 SW 27TH AVE STE 214, MIAMI, FL, 331452455, US | |||||||||||||||||||
|
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| Phone | +1 305-444-3580 |
| Fax | 3054441736 |
Authorized person
| Name | DR. RICARDO FRANCISCO GUTIERREZ |
| Role | CEO |
| Phone | 7869237403 |
Taxonomy
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| License Number | 9286541 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GUTIERREZ, RICARDO F, DR. | Agent | 1800 SW 27 AVE, 214, MIAMI, FL 33145 |
| Name | Role | Address |
|---|---|---|
| GUTIERREZ, RICARDO F, DR. | Chief Executive Officer | 1800 SW 27 AVE, MIAMI, FL 33145 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2017-06-30 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
