Search icon

MANUEL DOMINGUEZ, MD, PA - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: MANUEL DOMINGUEZ, MD, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Nov 2020 (5 years ago)
Date of dissolution: 22 Sep 2023 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (2 years 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
City: Miami Beach
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DOMINGUEZ MANUEL MD President 1540 WASHINGTON AVE, MIAMI BEACH, FL, 33139
DOMINGUEZ MANUEL MD Treasurer 1540 WASHINGTON AVE, MIAMI BEACH, FL, 33139
FLEITES SERGIO AC.P.A. Agent 1575 SW 87 AVE, MIAMI, FL, 33174

National Provider Identifier

NPI Number:
1922672294
Certification Date:
2021-06-22

Authorized Person:

Name:
MANUEL DOMINGUEZ
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -

Documents

Name Date
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-01-29
Domestic Profit 2020-11-16

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 03 Aug 2025

Sources: Florida Department of State