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LISBET RODRIGUEZ BOLOIX PA

Company Details

Entity Name: LISBET RODRIGUEZ BOLOIX PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 07 Aug 2018 (7 years ago)
Document Number: P18000067690
FEI/EIN Number 83-1514126
Address: 14869 SW 42 STREET, MIRAMAR, FL 33027
Mail Address: 14869 SW 42 STREET, MIRAMAR, FL 33027
ZIP code: 33027
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619716495 2024-05-22 2024-05-22 14869 SW 42ND ST, MIRAMAR, FL, 330273335, US 5801 NW 151ST ST STE 203, MIAMI LAKES, FL, 330142437, US

Contacts

Phone +1 305-822-4447
Fax 3058224484

Authorized person

Name LISBET RODRIGUEZ BOLOIX
Role DIRECTOR
Phone 3058224447

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
RODRIGUEZ BOLOIX, LISBET Agent 14869 SW 42 STREET, MIRAMAR, FL 33027

President

Name Role Address
RODRIGUEZ BOLOIX, LISBET President 14869 SW 42 STREET, MIRAMAR, FL 33027

Documents

Name Date
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-04-28
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-16
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-03-30
Domestic Profit 2018-08-07

Date of last update: 17 Feb 2025

Sources: Florida Department of State