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INES BRACERAS MD PA

Company Details

Entity Name: INES BRACERAS MD PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 May 2023 (2 years ago)
Document Number: P23000041675
FEI/EIN Number 931843734
Address: 9090 SW 87 court, Miami, FL, 33176, US
Mail Address: 1551 Sopera Ave Coral Gables, FL, Coral Gables, FL, 33134, US
ZIP code: 33176
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710666508 2023-07-18 2023-08-22 9090 SW 87TH CT STE 101, MIAMI, FL, 331762317, US 9090 SW 87TH CT STE 101, MIAMI, FL, 331762317, US

Contacts

Phone +1 305-807-0626

Authorized person

Name INES BRACERAS
Role OWNER
Phone 3058070626

Taxonomy

Taxonomy Code 207QA0505X - Adult Medicine Physician
Is Primary Yes

Agent

Name Role Address
BRACERAS INES Agent 1551 Sopera Ave Coral Gables, FL, Coral Gables, FL, 33134

President

Name Role Address
BRACERAS INES President 9090 SW 87 COURT, SUITE 101, MIAMI, FL, 33176

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-14 9090 SW 87 court, suite 101, Miami, FL 33176 No data
CHANGE OF MAILING ADDRESS 2024-04-14 9090 SW 87 court, suite 101, Miami, FL 33176 No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-14 1551 Sopera Ave Coral Gables, FL, Coral Gables, FL 33134 No data

Documents

Name Date
ANNUAL REPORT 2024-04-14
Domestic Profit 2023-05-26

Date of last update: 02 Feb 2025

Sources: Florida Department of State