| Entity Name: | BERNARDO PASCUAL, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 23 Jun 1993 (32 years ago) |
| Date of dissolution: | 26 Jul 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 Jul 2023 (2 years ago) |
| Document Number: | P93000045640 |
| FEI/EIN Number | 65-0428939 |
| Address: | 17670 NW 78TH AVE, 211, MIAMI, FL 33015 |
| Mail Address: | 17670 NW 78TH AVE, 211, MIAMI, FL 33015 |
| ZIP code: | 33015 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952566432 | 2008-07-23 | 2009-06-23 | 17670 NW 78TH AVE, STE 211, HIALEAH, FL, 330153670, US | 17670 NW 78TH AVE, STE 211, HIALEAH, FL, 330153670, US | |||||||||||||||||||||
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| Phone | +1 305-822-2818 |
| Fax | 3058274815 |
Authorized person
| Name | DR. BERNARDO PASCUAL |
| Role | PRESIDENT/OWNER |
| Phone | 3058222818 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 373168500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PASCUAL-FERRER, CAROLINA | Agent | 16034 N.W. 82ND COURT, MIAMI LAKES, FL 33016 |
| Name | Role | Address |
|---|---|---|
| PASCUAL-FERRER, CAROLINA | Treasurer | 16034 N.W. 82ND COURT, MIAMI LAKES, FL 33016 |
| Name | Role | Address |
|---|---|---|
| PASCUAL, BERNARDO | President | 16034 N.W. 82ND COURT, MIAMI LAKES, FL 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-07-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-12-08 | PASCUAL-FERRER, CAROLINA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-01-11 | 17670 NW 78TH AVE, 211, MIAMI, FL 33015 | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-11 | 17670 NW 78TH AVE, 211, MIAMI, FL 33015 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-01-11 | 16034 N.W. 82ND COURT, MIAMI LAKES, FL 33016 | No data |
| AMENDMENT AND NAME CHANGE | 1996-10-18 | BERNARDO PASCUAL, M.D., P.A. | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-07-26 |
| AMENDED ANNUAL REPORT | 2022-12-08 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-02-12 |
| ANNUAL REPORT | 2016-04-20 |
| ANNUAL REPORT | 2015-01-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
