Entity Name: | ALPHA ORTHO-CARE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 25 Apr 1989 (36 years ago) |
Document Number: | K83191 |
FEI/EIN Number | 650117590 |
Address: | 1401 E 4TH AVE, STE 102, HIALEAH, FL, 33010, US |
Mail Address: | 1401 E 4TH AVE, STE 102, HIALEAH, FL, 33010, US |
ZIP code: | 33010 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1932253648 | 2007-01-22 | 2009-04-23 | 1401 E 4TH AVE, STE 104, HIALEAH, FL, 330103504, US | 1401 E 4TH AVE, STE 104, HIALEAH, FL, 330103504, US | |||||||||||||||||||||
|
Phone | +1 305-888-9000 |
Fax | 3058888269 |
Authorized person
Name | MR. TULIO QUIRANTES |
Role | PRESIDENT |
Phone | 3058889000 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 062403900 |
State | FL |
Name | Role | Address |
---|---|---|
QUIRANTES JR TULIO | Agent | 1401 E 4TH AVE, HIALEAH, FL, 33010 |
Name | Role | Address |
---|---|---|
QUIRANTES JR TULIO | President | 1401 E 4TH AVE, HIALEAH, FL, 33010 |
Name | Role | Address |
---|---|---|
QUIRANTES JR TULIO | Secretary | 1401 E 4TH AVE, HIALEAH, FL, 33010 |
Name | Role | Address |
---|---|---|
QUIRANTES JR TULIO | Treasurer | 1401 E 4TH AVE, HIALEAH, FL, 33010 |
Name | Role | Address |
---|---|---|
QUIRANTES MARIA | Vice President | 1401 E 4TH AVE, HIALEAH, FL, 33010 |
Name | Role | Address |
---|---|---|
QUIRANTES JR TULIO | Director | 1401 E 4TH AVE, HIALEAH, FL, 33010 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2019-04-26 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State