| Entity Name: | JUSTINA PALACIOS REYES PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 06 Jan 2022 (3 years ago) |
| Document Number: | P22000002670 |
| FEI/EIN Number | 88-0807125 |
| Address: | 6963 W 5TH CT, HIALEAH, FL 33014 |
| Mail Address: | 6963 W 5TH CT, HIALEAH, FL 33014 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942051743 | 2024-03-29 | 2024-03-29 | 6963 W 5TH CT, HIALEAH, FL, 330144944, US | 6963 W 5TH CT, HIALEAH, FL, 330144944, US | |||||||||||||
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| Phone | +1 786-250-7894 |
Authorized person
| Name | JUSTINA PALACIOS REYES |
| Role | OWNER/PRACTITIONER |
| Phone | 7862507894 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| COBOS, JESUS | Agent | 7750 SW 117 AVE, SUITE 303, MIAMI, FL 33183 |
| Name | Role | Address |
|---|---|---|
| PALACIOS REYES, JUSTINA | President | 6963 W 5TH CT, HIALEAH, FL 33014 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-10 |
| ANNUAL REPORT | 2023-03-18 |
| Domestic Profit | 2022-01-06 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
