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J. GONZALEZ-BARRERA, N.P., P.A.

Company Details

Entity Name: J. GONZALEZ-BARRERA, N.P., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Nov 2020 (4 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 26 Sep 2022 (2 years ago)
Document Number: P20000090307
FEI/EIN Number 85-4049351
Address: 11930 N BAYSHORE DR STE 1008, NORTH MIAMI, FL, 33181, US
Mail Address: 11930 N BAYSHORE DR STE 1008, NORTH MIAMI, FL, 33181, US
ZIP code: 33181
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063008456 2020-12-18 2023-12-04 11930 N BAYSHORE DR STE 1008, NORTH MIAMI, FL, 331812926, US 11930 N BAYSHORE DR STE 1008, NORTH MIAMI, FL, 331812926, US

Contacts

Phone +1 305-895-7519
Fax 3058957520

Authorized person

Name JORGE GONZALEZ-BARRERA
Role PRESIDENT
Phone 3058957519

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role Address
GONZALEZ-BARRERA JORGE Agent 11930 N BAYSHORE DR STE 1008, NORTH MIAMI, FL, 33181

President

Name Role Address
GONZALEZ-BARRERA JORGE President 11930 N BAYSHORE DR STE 1008, NORTH MIAMI, FL, 33181

Vice President

Name Role Address
Menendez Marisel Vice President 11930 N BAYSHORE DR STE 1008, NORTH MIAMI, FL, 33181

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-09-26 No data No data
REGISTERED AGENT NAME CHANGED 2022-09-26 GONZALEZ-BARRERA, JORGE No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-05-01
REINSTATEMENT 2022-09-26
ANNUAL REPORT 2021-03-30
Domestic Profit 2020-11-12

Date of last update: 02 Feb 2025

Sources: Florida Department of State