| Entity Name: | VILLOCH ASSOCIATES MD, PA. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 13 Jun 1997 (28 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P97000052901 |
| FEI/EIN Number | 65-0235257 |
| Mail Address: | 5005 ORDUNA DRIVE, CORAL GABLES, FL 33146 |
| Address: | 2075 SW 27TH AVE., SUITE 101, MIAMI, FL 33145 |
| ZIP code: | 33145 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326173881 | 2007-02-23 | 2020-08-22 | 5005 ORDUNA DR, CORAL GABLES, FL, 331462036, US | 2075 SW 27TH AVE FL 1, MIAMI, FL, 331452540, US | |||||||||||||||||||||||||||
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| Phone | +1 305-662-2592 |
| Phone | +1 305-856-6081 |
| Fax | 3058545968 |
Authorized person
| Name | DR. MARIO R VILLOCH |
| Role | PRESIDENT |
| Phone | 3058566081 |
Taxonomy
| Taxonomy Code | 173000000X - Legal Medicine |
| License Number | ME59094 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 11709 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VILLOCH, MARIO R, M.D. | Agent | 5005 ORDUNA DRIVE, CORAL GABLES, FL 33146 |
| Name | Role | Address |
|---|---|---|
| VILLOCH, MARIO R, M.D. | President | 5005 ORDUNA DRIVE, CORAL GABLES, FL 33146 |
| Name | Role | Address |
|---|---|---|
| VILLOCH, MARIO R, M.D. | Director | 5005 ORDUNA DRIVE, CORAL GABLES, FL 33146 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2017-04-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-03-03 | VILLOCH, MARIO R, M.D. | No data |
| REINSTATEMENT | 2011-01-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2005-03-21 | 2075 SW 27TH AVE., SUITE 101, MIAMI, FL 33145 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-03-21 | 2075 SW 27TH AVE., SUITE 101, MIAMI, FL 33145 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-03-21 | 5005 ORDUNA DRIVE, CORAL GABLES, FL 33146 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-04-21 |
| ANNUAL REPORT | 2019-03-27 |
| ANNUAL REPORT | 2018-04-17 |
| REINSTATEMENT | 2017-04-05 |
| ANNUAL REPORT | 2014-03-03 |
| ANNUAL REPORT | 2013-03-14 |
| ANNUAL REPORT | 2012-06-11 |
| REINSTATEMENT | 2011-01-28 |
| ANNUAL REPORT | 2008-03-06 |
| ANNUAL REPORT | 2007-02-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
