| Entity Name: | DR. JORGE TRAVIESO, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 May 1996 (29 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 27 Oct 2015 (9 years ago) |
| Document Number: | P96000039506 |
| FEI/EIN Number | 650695095 |
| Address: | 2369 W 52nd ST, HIALEAH, FL, 33016, US |
| Mail Address: | 2369 W 52nd ST, HIALEAH, FL, 33016, US |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396924841 | 2007-11-01 | 2007-11-29 | 2369 WEST 52 ST, HIALEAH, FL, 33016, US | 2369 WEST 52 ST, HIALEAH, FL, 33016, US | |||||||||||||||
|
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| Phone | +1 305-825-0587 |
Authorized person
| Name | DR. JORGE TRAVIESO I |
| Role | OWNER |
| Phone | 3058250587 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Travieso Jorge | Agent | 2369 W 52nd ST, HIALEAH, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| TRAVIESO JORGE Dr. | President | 2369 W 52nd ST, HIALEAH, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| Travieso Walkira | Secretary | 2369 W 52nd ST, HIALEAH, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| TRAVIESO WALKIRIA | Officer | 10198 nw 133 st, hialeah gardens, FL, 33018 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-11 | 2369 W 52nd ST, HIALEAH, FL 33016 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-11 | Travieso, Jorge | No data |
| REINSTATEMENT | 2015-10-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2015-10-27 | 2369 W 52nd ST, HIALEAH, FL 33016 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-10-27 | 2369 W 52nd ST, HIALEAH, FL 33016 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REINSTATEMENT | 2014-02-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REINSTATEMENT | 2005-11-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2024-01-11 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-03-18 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-05-07 |
| ANNUAL REPORT | 2019-01-09 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-03-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
