| Entity Name: | CLINIC CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Mar 1984 (41 years ago) |
| Document Number: | G99655 |
| FEI/EIN Number | 592381702 |
| Address: | 3800 W 12 AVE, HIALEAH, FL, 33012 |
| Mail Address: | 3800 W 12 AVE, HIALEAH, FL, 33012 |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174555411 | 2006-07-07 | 2013-09-16 | 3800 W 12TH AVE, HIALEAH, FL, 330124126, US | 3800 W 12TH AVE, HIALEAH, FL, 330124126, US | |||||||||||||||
|
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| Phone | +1 305-557-7777 |
| Fax | 3055576352 |
Authorized person
| Name | MR. ANIBAL PEREZ DE GRACIA |
| Role | PRESIDENT |
| Phone | 3055577777 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ DE GRACIA LEANDRO C | Agent | 9300 SOUTH DADELAND BLVD, MIAMI, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| PEREZ DE GRACIA LILIANA | President | 3800 W 12 AVE, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 1993-09-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1993-08-13 | No data | No data |
| NAME CHANGE AMENDMENT | 1990-07-03 | CLINIC CENTER, INC. | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
