| Entity Name: | ELIOPE M. PAZ, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 06 Nov 1992 (32 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P92000002708 |
| FEI/EIN Number | 65-0381035 |
| Address: | 11 Poppy Ln, Placida, FL 33946 |
| Mail Address: | 11 Poppy Ln, Placida, FL 33946 |
| ZIP code: | 33946 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518185834 | 2007-04-23 | 2010-05-05 | 1111 12TH ST, 110, KEY WEST, FL, 330404088, US | 1111 12TH ST, 110, KEY WEST, FL, 330404088, US | |||||||||||||||||||||||||
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| Phone | +1 305-294-6242 |
| Fax | 3052943663 |
Authorized person
| Name | ELIOPE PAZ |
| Role | PRESIDENT |
| Phone | 3052946242 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | ME0046337 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 045413300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PAZ, ELIOPE | Agent | 11 Poppy Ln, Placida, FL 33946 |
| Name | Role | Address |
|---|---|---|
| PAZ, ELIOPE | President | 11 Poppy Ln, Placia, FL 33946 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-04 | 11 Poppy Ln, Placida, FL 33946 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-04 | 11 Poppy Ln, Placida, FL 33946 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-04 | 11 Poppy Ln, Placida, FL 33946 | No data |
| REINSTATEMENT | 1995-09-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 1993-03-05 | PAZ, ELIOPE | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-02-25 |
| ANNUAL REPORT | 2014-03-03 |
| ANNUAL REPORT | 2013-02-10 |
| ANNUAL REPORT | 2012-02-29 |
| ANNUAL REPORT | 2011-03-07 |
| ANNUAL REPORT | 2010-02-16 |
| ANNUAL REPORT | 2009-03-24 |
| ANNUAL REPORT | 2008-02-01 |
| ANNUAL REPORT | 2007-03-05 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
