| Entity Name: | TOPDOC MIAMI MEDICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 06 Jun 2022 (3 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P22000046195 |
| FEI/EIN Number | 88-2842898 |
| Address: | 1441 BRICKELL AVE., SUITE 301, MIAMI, FL 33131 |
| Mail Address: | 1441 BRICKELL AVE., SUITE 301, MIAMI, FL 33131 |
| ZIP code: | 33131 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659009413 | 2022-08-10 | 2022-08-10 | 1441 BRICKELL AVE STE 301, MIAMI, FL, 331313439, US | 1441 BRICKELL AVE STE 301, MIAMI, FL, 331313439, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-239-2789 |
| Fax | 7865910550 |
Authorized person
| Name | LAURA PURDY |
| Role | OWNER |
| Phone | 4232177422 |
Taxonomy
| Taxonomy Code | 207NS0135X - Procedural Dermatology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | HUMANA |
| Number | 61101 |
| Issuer | TRICARE |
| Number | ISA08GS03 |
| Issuer | CIGNA |
| Number | 62308 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 00590 |
| Issuer | AETNA |
| Number | 60054 |
| Issuer | UNITED HEALTHCARE |
| Number | 87726 |
| Name | Role | Address |
|---|---|---|
| MEYER, ALBERT | Agent | 55 S.E. 2ND AVE, 1ST FLOOR, 1ST FLOOR, DELRAY BEACH, FL 33444 |
| Name | Role | Address |
|---|---|---|
| Michael, Peter, MD | President | 1441 BRICKELL AVE., SUITE 301, MIAMI, FL 33131 |
| Name | Role | Address |
|---|---|---|
| Michael, Peter, MD | Secretary | 1441 BRICKELL AVE., SUITE 301, MIAMI, FL 33131 |
| Name | Role | Address |
|---|---|---|
| Michael, Peter, MD | Treasurer | 1441 BRICKELL AVE., SUITE 301, MIAMI, FL 33131 |
| Name | Role | Address |
|---|---|---|
| Michael, Peter, MD | Director | 1441 BRICKELL AVE., SUITE 301, MIAMI, FL 33131 |
| Name | Role | Address |
|---|---|---|
| Luckey, Jeffrey | Chief Financial Officer | 1441 BRICKELL AVE., SUITE 301, MIAMI, FL 33131 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000149132 | TOPDOC CLINICS MIAMI | ACTIVE | 2022-12-05 | 2027-12-31 | No data | 1441 BRICKELL AVE, SUITE 301, MIAMI, FL, 33131 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-06-29 |
| Domestic Profit | 2022-06-06 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
