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CARLOS F. VALLEJO, M.D., P.A. - Florida Company Profile

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Company Details

Entity Name: CARLOS F. VALLEJO, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Jan 1999 (27 years ago)
Last Event: AMENDMENT
Event Date Filed: 17 Aug 2020 (5 years ago)
Document Number: P99000000407
FEI/EIN Number 650885243
Address: 5803 N.W 151 ST, Miami Lakes, FL, 33014, US
Mail Address: 5803 N.W 151 ST, Miami Lakes, FL, 33014, US
ZIP code: 33014
City: Hialeah
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SELEM LISSETTE President 1200 LEEWARD WAY, WESTON, FL, 33327
VALLEJO CARLOS F Agent 5803 N.W 151 ST, Miami Lakes, FL, 33014

National Provider Identifier

NPI Number:
1740595339

Authorized Person:

Name:
CARLOS F VALLEJO
Role:
MEDICAL DOCTOR/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3056968156

Events

Event Type Filed Date Value Description
AMENDMENT 2020-08-17 - -
CHANGE OF PRINCIPAL ADDRESS 2014-01-22 5803 N.W 151 ST, 101, Miami Lakes, FL 33014 -
CHANGE OF MAILING ADDRESS 2014-01-22 5803 N.W 151 ST, 101, Miami Lakes, FL 33014 -
REGISTERED AGENT ADDRESS CHANGED 2014-01-22 5803 N.W 151 ST, 101, Miami Lakes, FL 33014 -
CANCEL ADM DISS/REV 2005-02-11 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2003-09-19 - -

Documents

Name Date
ANNUAL REPORT 2025-01-13
ANNUAL REPORT 2024-01-14
ANNUAL REPORT 2023-01-11
ANNUAL REPORT 2022-01-18
ANNUAL REPORT 2021-01-20
Amendment 2020-08-17
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-01-14
ANNUAL REPORT 2018-02-05
ANNUAL REPORT 2017-01-17

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$25,200
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$25,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$25,517.59
Servicing Lender:
City National Bank of Florida
Use of Proceeds:
Payroll: $18,900
Utilities: $6,300

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Date of last update: 02 Aug 2025

Sources: Florida Department of State