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E G PEDIATRICS, P.A.

Company Details

Entity Name: E G PEDIATRICS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 30 May 1997 (28 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: P97000047955
FEI/EIN Number 650758526
Address: 11880 BIRD RD, SUITE 205, MIAMI, FL, 33175
Mail Address: 11880 BIRD RD, SUITE 205, MIAMI, FL, 33175
ZIP code: 33175
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558588046 2007-04-19 2020-08-22 11880 SW 40TH ST, SUITE 205, MIAMI, FL, 331753584, US 11880 SW 40TH ST, SUITE 205, MIAMI, FL, 331753584, US

Contacts

Phone +1 305-229-9191
Fax 3052299145

Authorized person

Name DR. MARTHA ROSA ESTRADA-GUEVARA
Role PRESIDENT
Phone 3052299191

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

Agent

Name Role Address
ESTRADA-GUEVARA MARTHA R Agent 11880 BIRD RD, MIAMI, FL, 33175

President

Name Role Address
ESTRADA-GUEVARA MARTHA R President 11880 BIRD RD., #205, MIAMI, FL, 33175

Director

Name Role Address
ESTRADA-GUEVARA MARTHA R Director 11880 BIRD RD., #205, MIAMI, FL, 33175
GUEVARA CARLOS M Director 11880 BIRD RD., #205, MIAMI, FL, 33175

Vice President

Name Role Address
GUEVARA CARLOS M Vice President 11880 BIRD RD., #205, MIAMI, FL, 33175

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
REGISTERED AGENT ADDRESS CHANGED 2002-11-05 11880 BIRD RD, SUITE 205, MIAMI, FL 33175 No data
CHANGE OF PRINCIPAL ADDRESS 2000-03-10 11880 BIRD RD, SUITE 205, MIAMI, FL 33175 No data
CHANGE OF MAILING ADDRESS 2000-03-10 11880 BIRD RD, SUITE 205, MIAMI, FL 33175 No data

Documents

Name Date
ANNUAL REPORT 2015-04-29
ANNUAL REPORT 2014-03-05
ANNUAL REPORT 2013-04-30
ANNUAL REPORT 2012-05-01
ANNUAL REPORT 2011-04-28
ANNUAL REPORT 2010-05-03
ANNUAL REPORT 2009-04-14
ANNUAL REPORT 2008-04-28
ANNUAL REPORT 2007-05-01
ANNUAL REPORT 2006-04-24

Date of last update: 02 Feb 2025

Sources: Florida Department of State