| Entity Name: | BEATRIZ E. AMENDOLA, MD. PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Nov 1999 (25 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 06 Dec 2001 (23 years ago) |
| Document Number: | P99000102881 |
| FEI/EIN Number | 650960751 |
| Address: | 5995 SW 71ST ST, #1A, SOUTH MIAMI, FL, 33143, US |
| Mail Address: | 11450 INTERCHANGE CIR N, HOLLYWOOD, FL, 33025 |
| ZIP code: | 33143 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407515380 | 2021-12-08 | 2022-01-04 | 5995 SW 71ST ST # 1-A, SOUTH MIAMI, FL, 331433531, US | 96 W 21ST ST, HIALEAH, FL, 330102614, US | |||||||||||||||
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| Phone | +1 305-669-6833 |
| Fax | 3056664030 |
Authorized person
| Name | BEATRIZ ELENA AMENDOLA |
| Role | MEDICAL DIRECTOR |
| Phone | 3056696833 |
Taxonomy
| Taxonomy Code | 2085R0001X - Radiation Oncology Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AMENDOLA BEATRIZ E | Agent | 5995 SW 71ST ST, SOUTH MIAMI, FL, 33143 |
| Name | Role | Address |
|---|---|---|
| AMENDOLA BEATRIZ | President | 5995 SW 71ST ST, SOUTH MIAMI, FL, 33143 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000031437 | BRACHY THERAPY INSTITUTE OF SOUTH FLORIDA | EXPIRED | 2019-03-07 | 2024-12-31 | No data | 270 VELEROS CT, CORAL GABLES, FL, 33143 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-06 | 5995 SW 71ST ST, #1A, SOUTH MIAMI, FL 33143 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-02-06 | 5995 SW 71ST ST, #1A, SOUTH MIAMI, FL 33143 | No data |
| CHANGE OF MAILING ADDRESS | 2003-03-10 | 5995 SW 71ST ST, #1A, SOUTH MIAMI, FL 33143 | No data |
| REINSTATEMENT | 2001-12-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-03-15 |
| ANNUAL REPORT | 2015-02-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
