| Entity Name: | UBALDO A MIRANDA MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Nov 2020 (4 years ago) |
| Document Number: | P20000090916 |
| FEI/EIN Number | 85-4110461 |
| Address: | 3218 Hillsdale Lane, Kissimmee, FL, 34741, US |
| Mail Address: | 3218 Hillsdale Lane, Kissimmee, FL, 34741, US |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750966149 | 2021-03-16 | 2023-11-20 | 3218 HILLSDALE LN, KISSIMMEE, FL, 347417562, US | 14271 SW 42ND ST, MIAMI, FL, 331756408, US | |||||||||||||||||
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| Phone | +1 407-350-3525 |
| Fax | 4072646011 |
| Phone | +1 786-431-1180 |
Authorized person
| Name | UBALDO A MIRANDA |
| Role | PRESIDENT |
| Phone | 7862413749 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MIRANDA UBALDO A | Agent | 11 ISLAND AVE, MIAMI BEACH, FL, 33139 |
| Name | Role | Address |
|---|---|---|
| MIRANDA UBALDO ADR | President | 3218 Hillsdale Lane, Kissimmee, FL, 34741 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000141249 | MY NEW MIA LIFE | ACTIVE | 2021-10-20 | 2026-12-31 | No data | PO BOX 398911, MIAMI BEACH, FL, 33139 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-05-01 | 3218 Hillsdale Lane, Kissimmee, FL 34741 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-03 | 3218 Hillsdale Lane, Kissimmee, FL 34741 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-03 | 11 ISLAND AVE, Unit 309, MIAMI BEACH, FL 33139 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-01-14 |
| ANNUAL REPORT | 2021-03-13 |
| Domestic Profit | 2020-11-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
