| Entity Name: | MD HEALTH PROVIDERS INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Aug 2018 (6 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P18000069729 |
| FEI/EIN Number | 831583991 |
| Address: | 24 Dockside Lane, Key Largo, FL, 33037, US |
| Mail Address: | 24 DOCKSIDE LANE, #106, KEY LARGO, FL, 33037, US |
| ZIP code: | 33037 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033699491 | 2018-08-15 | 2018-08-15 | 24 DOCKSIDE LN STE 106, KEY LARGO, FL, 330375267, US | 3915 BISCAYNE BLVD STE 301, MIAMI, FL, 331373730, US | |||||||||||||||||||||||||
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| Phone | +1 954-579-3916 |
| Fax | 9542393902 |
Authorized person
| Name | HENRY ROJAS |
| Role | MEDICAL DIRECTOR |
| Phone | 9545793916 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME133533 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FL MD LICENSE |
| Number | 133533 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HAVRE BILL | Agent | 3030 N. ROCKY POINT DR, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| Rojas Henry | President | 24 Dockside Lane, Key Largo, FL, 33037 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-30 | 24 Dockside Lane, #106, Key Largo, FL 33037 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J23000508317 | ACTIVE | 1000000965564 | MONROE | 2023-10-19 | 2033-10-25 | $ 390.10 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 3750 NW 87TH AVE STE 300, DORAL FL331782430 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-02-16 |
| AMENDED ANNUAL REPORT | 2021-08-18 |
| AMENDED ANNUAL REPORT | 2021-07-12 |
| AMENDED ANNUAL REPORT | 2021-07-07 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-02-06 |
| Domestic Profit | 2018-08-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
