| Entity Name: | MANUEL DOMINGUEZ, MD, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 16 Nov 2020 (4 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: | P20000088849 |
| FEI/EIN Number | 82-2407960 |
| Address: | 1540 WASHINGTON AVE, MIAMI BEACH, FL 33139 |
| Mail Address: | 1540 WASHINGTON AVE, MIAMI BEACH, FL 33139 |
| ZIP code: | 33139 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922672294 | 2021-05-19 | 2021-06-22 | 1540 WASHINGTON AVE, MIAMI BEACH, FL, 331397801, US | 1540 WASHINGTON AVE, MIAMI BEACH, FL, 331397801, US | |||||||||||||
|
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| Phone | +1 305-532-4122 |
Authorized person
| Name | MANUEL DOMINGUEZ |
| Role | OWNER |
| Phone | 3055324122 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FLEITES, SERGIO A, C.P.A. | Agent | 1575 SW 87 AVE, MIAMI, FL 33174 |
| Name | Role | Address |
|---|---|---|
| DOMINGUEZ, MANUEL, MD | President | 1540 WASHINGTON AVE, MIAMI BEACH, FL 33139 |
| Name | Role | Address |
|---|---|---|
| DOMINGUEZ, MANUEL, MD | Treasurer | 1540 WASHINGTON AVE, MIAMI BEACH, FL 33139 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-01-29 |
| Domestic Profit | 2020-11-16 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
