| Entity Name: | BAPTIST DIABETES ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 17 Jan 1992 (33 years ago) |
| Document Number: | V07450 |
| FEI/EIN Number | 650307791 |
| Address: | 7867 N. KENDALL DR., SUITE 80, MIAMI, FL, 33156, US |
| Mail Address: | 7867 N. Kendall Drive, Suite 80, Miami, FL, 33156, US |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790110492 | 2013-09-12 | 2013-09-12 | 7867 N KENDALL DR, SUITE 80, MIAMI, FL, 331567742, US | 7867 N KENDALL DR, SUITE 80, MIAMI, FL, 331567742, US | |||||||||||||||||||
|
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| Phone | +1 305-595-8252 |
| Fax | 3055957958 |
Authorized person
| Name | DR. MARTIN ROTHBERG |
| Role | TREASURER |
| Phone | 3056138853 |
Taxonomy
| Taxonomy Code | 207RE0101X - Endocrinology, Diabetes & Metabolism Physician |
| License Number | ME0014724 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FREUND IRWIN | Agent | 10729 SW 104 STREET, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| WEISSMAN PETER M | President | 7867 N. KENDALL DR, #80, MIAMI, FL, 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
