| Entity Name: | ANTONIO V. RIVERA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 03 Nov 1997 (27 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: | P97000094390 |
| FEI/EIN Number | 59-3480328 |
| Address: | 510 Vonderburg Drive, Suite 306, BRANDON, FL 33511 |
| Mail Address: | 510 Vonderburg Drive, Suite 306, BRANDON, FL 33511 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699901850 | 2009-06-02 | 2013-08-05 | 510 VONDERBURG DR, SUITE 306, BRANDON, FL, 335115954, US | 510 VONDERBURG DR, SUITE 306, BRANDON, FL, 335115954, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 813-689-5220 |
| Fax | 8136818243 |
Authorized person
| Name | DR. ANTONIO V RIVERA |
| Role | OWNER |
| Phone | 8136895220 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME49129 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RIVERA, ANTONIO V | Agent | 510 Vonderburg Drive, Suite 306, BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| RIVERA, ANTONIO V | President | 510 Vonderburg Drive, Suite 306 BRANDON, FL 33511 |
| RIVERA, ROCIO | President | 510 Vonderburg Drive, Suite 306 BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| RIVERA, ANTONIO V | Director | 510 Vonderburg Drive, Suite 306 BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| RIVERA, ROCIO | Vice President | 510 Vonderburg Drive, Suite 306 BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| RIVERA, ROCIO | Secretary | 510 Vonderburg Drive, Suite 306 BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| RIVERA, ROCIO | Treasurer | 510 Vonderburg Drive, Suite 306 BRANDON, FL 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-03 | 510 Vonderburg Drive, Suite 306, BRANDON, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2014-03-03 | 510 Vonderburg Drive, Suite 306, BRANDON, FL 33511 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-03 | 510 Vonderburg Drive, Suite 306, BRANDON, FL 33511 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-03-16 |
| ANNUAL REPORT | 2014-03-03 |
| ANNUAL REPORT | 2013-03-28 |
| ANNUAL REPORT | 2012-04-04 |
| ANNUAL REPORT | 2011-02-23 |
| ANNUAL REPORT | 2010-04-07 |
| ANNUAL REPORT | 2009-06-08 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-04-25 |
| ANNUAL REPORT | 2006-05-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
