Entity Name: | SANCHEZ & TAMAYO P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 27 Apr 1999 (26 years ago) |
Document Number: | P99000038004 |
FEI/EIN Number | 650913987 |
Address: | 3025 CORAL WAY, MIAMI, FL, 33145, US |
Mail Address: | 4260 SW 12th Street, MIAMI, FL, 33134, US |
ZIP code: | 33145 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1912048075 | 2007-02-10 | 2019-07-17 | 4260 SW 12TH ST, MIAMI, FL, 331342711, US | 3025 CORAL WAY, CORAL GABLES, FL, 33145, US | |||||||||||||||||||||||||
|
Phone | +1 305-447-9638 |
Phone | +1 305-446-3025 |
Authorized person
Name | RAFAEL F SANCHEZ |
Role | PRESIDENT |
Phone | 3054463025 |
Taxonomy
Taxonomy Code | 152W00000X - Optometrist |
License Number | OPC 1965 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 620415500 |
State | FL |
Name | Role | Address |
---|---|---|
SANCHEZ RAFAEL | Agent | 4260 SW 12TH ST, MIAMI, FL, 33134 |
Name | Role | Address |
---|---|---|
SANCHEZ RAFAEL | President | 4260 SW 12TH ST., MIAMI, FL, 33134 |
Name | Role | Address |
---|---|---|
TAMAYO LUZ M | Vice President | 4260 SW 12TH ST., MIAMI, FL, 33134 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2018-03-12 | 3025 CORAL WAY, MIAMI, FL 33145 | No data |
CHANGE OF MAILING ADDRESS | 2018-03-12 | 3025 CORAL WAY, MIAMI, FL 33145 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2006-03-13 | 4260 SW 12TH ST, MIAMI, FL 33134 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-12 |
ANNUAL REPORT | 2023-01-19 |
ANNUAL REPORT | 2022-01-31 |
ANNUAL REPORT | 2021-02-20 |
ANNUAL REPORT | 2020-01-27 |
ANNUAL REPORT | 2019-02-07 |
ANNUAL REPORT | 2018-03-12 |
ANNUAL REPORT | 2017-02-07 |
ANNUAL REPORT | 2016-02-17 |
ANNUAL REPORT | 2015-01-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State