| Entity Name: | CARLOS RODRIGUEZ ORTIZ MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Aug 2017 (8 years ago) |
| Document Number: | P17000068763 |
| FEI/EIN Number | 82-2509804 |
| Address: | 705 E 26TH ST, HIALEAH, FL 33013 |
| Mail Address: | 705 E 26TH ST, HIALEAH, FL 33013 |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982116877 | 2017-10-31 | 2017-10-31 | 705 E 26TH ST, HIALEAH, FL, 330133823, US | 705 E 26TH ST, HIALEAH, FL, 330133823, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 786-332-2922 |
| Fax | 7863322956 |
Authorized person
| Name | DR. CARLOS ALBERTO RODRIGUEZ |
| Role | PRESIDENT/PHYSICIAN |
| Phone | 7863264558 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| License Number | ME124265 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, CARLOS A | Agent | 705 E 26th St, HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, CARLOS A | President | 705 E 26th St, HIALEAH, FL 33013 |
| Name | Role | Address |
|---|---|---|
| VALDES VILLALOBOS, FERNANDO | Secretary | 705 E 26th St, HIALEAH, FL 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-27 | 705 E 26th St, HIALEAH, FL 33013 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-26 | 705 E 26TH ST, HIALEAH, FL 33013 | No data |
| CHANGE OF MAILING ADDRESS | 2018-02-26 | 705 E 26TH ST, HIALEAH, FL 33013 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-07-15 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-06-03 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-27 |
| Domestic Profit | 2017-08-15 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
