| Entity Name: | ALBERTO RANDO SOUS, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Apr 2021 (4 years ago) |
| Document Number: | P21000036716 |
| FEI/EIN Number | 86-3282526 |
| Address: | 12260 SW 8 STREET, 120, MIAMI, FL 33184 |
| Mail Address: | 12260 SW 8 STREET, 120, MIAMI, FL 33184 |
| ZIP code: | 33184 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548844863 | 2021-05-12 | 2021-05-12 | PO BOX 227682, MIAMI, FL, 332227682, US | 12260 SW 8TH ST STE 120, MIAMI, FL, 331841544, US | |||||||||||||||||||||
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| Phone | +1 305-912-8540 |
| Fax | 3059128539 |
Authorized person
| Name | DR. ALBERTO IGNACIO RANDO SOUS |
| Role | OWNER |
| Phone | 3059128540 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE LICENSE |
| Number | ME147060 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Rando Sous, Alberto | Agent | 12260 SW 8 STREET, 120, MIAMI, FL 33184 |
| Name | Role | Address |
|---|---|---|
| RANDO SOUS, ALBERTO, M.D. | President | 12260 SW 8 STREET, 120 MIAMI, FL 33184 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-05 | 12260 SW 8 STREET, 120, MIAMI, FL 33184 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-05 | Rando Sous, Alberto | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-05 | 12260 SW 8 STREET, 120, MIAMI, FL 33184 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-23 |
| Domestic Profit | 2021-04-15 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
