| Entity Name: | MANUEL SIVINA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 06 Jul 1995 (30 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P95000052542 |
| FEI/EIN Number | 65-0595411 |
| Address: | 4300 ALTON ROAD, SUITE 2240, MIAMI BEACH, FL 33140 |
| Mail Address: | 4300 ALTON ROAD, SUITE 2240, MIAMI BEACH, FL 33140 |
| ZIP code: | 33140 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205024510 | 2007-10-11 | 2011-12-08 | 4300 ALTON RD, SUITE 2240, MIAMI, FL, 331402800, US | 4300 ALTON RD, SUITE 2240, MIAMI, FL, 331402800, US | |||||||||||||||||||
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| Phone | +1 305-674-2760 |
| Fax | 3056742769 |
Authorized person
| Name | ALEX CARLOS CASTRO |
| Role | ASSISTANT OFFICE MANAGER |
| Phone | 3056742760 |
Taxonomy
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| License Number | ME0020990 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MANUEL SIVINA, M.D., P.A. DEFINED BENEFIT PENSION PLAN | 2009 | 650595411 | 2010-07-22 | MANUEL SIVINA, M.D., P.A. | 1 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 650595411 |
| Plan administrator’s name | MANUEL SIVINA, M.D., P.A. |
| Plan administrator’s address | 4300 ALTON RD STE 212A, MIAMI, FL, 331402800 |
| Administrator’s telephone number | 3056742760 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-22 |
| Name of individual signing | MANUEL SIVINA, M.D. |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| SIVINA, MANUEL M.D. | Agent | 4300 ALTON ROAD, SUITE 2240, MIAMI BEACH, FL 33140 |
| Name | Role | Address |
|---|---|---|
| SIVINA, MANUEL | Director | 4300 ALTON ROAD, SUITE 2240, MIAMI BEACH, FL 33140 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2011-10-05 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-10-05 | 4300 ALTON ROAD, SUITE 2240, MIAMI BEACH, FL 33140 | No data |
| CHANGE OF MAILING ADDRESS | 2011-10-05 | 4300 ALTON ROAD, SUITE 2240, MIAMI BEACH, FL 33140 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-10-05 | 4300 ALTON ROAD, SUITE 2240, MIAMI BEACH, FL 33140 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2001-09-10 | SIVINA, MANUEL M.D. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-02-17 |
| ANNUAL REPORT | 2017-01-08 |
| ANNUAL REPORT | 2016-02-06 |
| ANNUAL REPORT | 2015-01-10 |
| ANNUAL REPORT | 2014-01-14 |
| ANNUAL REPORT | 2013-01-18 |
| ANNUAL REPORT | 2012-01-12 |
| REINSTATEMENT | 2011-10-05 |
| ANNUAL REPORT | 2010-02-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
