| Entity Name: | SUSAN MARTINEZ, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 May 2020 (5 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P20000037503 |
| FEI/EIN Number | 86-2679118 |
| Address: | 6524 SW 114 PL, UNIT F, MIAMI, FL, 33173 |
| Mail Address: | 6524 SW 114 PL, UNIT F, MIAMI, FL, 33173 |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003964040 | 2007-01-08 | 2008-06-23 | 13419 SW 56TH ST, MIAMI, FL, 331756117, US | 13419 SW 56TH ST, MIAMI, FL, 331756117, US | |||||||||||||||||||
|
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| Phone | +1 305-559-2663 |
| Fax | 3055593040 |
Authorized person
| Name | DR. SUSANA MARTINEZ |
| Role | OWNER |
| Phone | 3055592663 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | DN0013120 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTINEZ SUSAN | Agent | 6524 SW 114TH PL, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ SUSAN | President | 6524 SW 114TH PL, MIAMI, FL, 33173-478 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-17 | 6524 SW 114TH PL, UNIT F, MIAMI, FL 33173 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-03-17 |
| Domestic Profit | 2020-05-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
