| Entity Name: | ROBERTO URQUIZA, M.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 May 1999 (26 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Aug 2023 (2 years ago) |
| Document Number: | P99000043889 |
| FEI/EIN Number | 650920950 |
| Address: | 5801NW 151 ST STE 204, MIAMI, FL, 33014 |
| Mail Address: | P.O. BOX 720596, MIAMI, FL, 33172 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093026361 | 2010-07-01 | 2011-05-05 | 5801 NW 151ST ST, SUITE 204, MIAMI LAKES, FL, 330142437, US | 5801 NW 151ST ST, SUITE 204, MIAMI LAKES, FL, 330142437, US | |||||||||||||||||||
|
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| Phone | +1 305-828-8229 |
| Fax | 3058288413 |
Authorized person
| Name | DR. ROBERTO URQUIZA |
| Role | PRESIDENT |
| Phone | 3058288229 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME75782 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| URQUIZA ROBERTO | Agent | 5801NW 151 ST STE 204, MIAMI, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| URQUIZA ROBERTO | President | 5801NW 151 ST STE 204, MIAMI, FL, 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-08-08 | URQUIZA, ROBERTO | No data |
| REINSTATEMENT | 2023-08-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-28 | 5801NW 151 ST STE 204, MIAMI, FL 33014 | No data |
| AMENDMENT AND NAME CHANGE | 2011-04-28 | ROBERTO URQUIZA, M.D., P.A. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-28 | 5801NW 151 ST STE 204, MIAMI, FL 33014 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-28 | 5801NW 151 ST STE 204, MIAMI, FL 33014 | No data |
| REINSTATEMENT | 2010-11-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CANCEL ADM DISS/REV | 2008-09-10 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14000224492 | TERMINATED | 1000000582346 | DADE | 2014-02-18 | 2024-02-21 | $ 760.78 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| REINSTATEMENT | 2023-08-08 |
| ANNUAL REPORT | 2011-04-29 |
| Amendment and Name Change | 2011-04-28 |
| REINSTATEMENT | 2010-11-03 |
| ANNUAL REPORT | 2009-04-25 |
| REINSTATEMENT | 2008-09-10 |
| REINSTATEMENT | 2006-10-20 |
| ANNUAL REPORT | 2005-04-22 |
| ANNUAL REPORT | 2004-05-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
