Entity Name: | CAROL CITY MED PLUS, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 13 Jul 1989 (36 years ago) |
Document Number: | L01756 |
FEI/EIN Number | 650230366 |
Address: | 18373 NW 27TH AVE, CAROL CITY, FL, 33055, US |
Mail Address: | 18373 NW 27TH AVE, CAROL CITY, FL, 33055, US |
ZIP code: | 33055 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1639168800 | 2005-10-19 | 2012-05-21 | 18373 NW 27TH AVE, CAROL CITY, FL, 330563169, US | 18373 NW 27TH AVE, CAROL CITY, FL, 330563169, US | |||||||||||||||||||
|
Phone | +1 305-625-9088 |
Fax | 3056250857 |
Authorized person
Name | PIERRE R BLENIUR |
Role | PRESIDENT |
Phone | 3056259088 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | HCCR2188 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BLEMUR PIERRE R | Agent | 18373 NW 27TH AVE., CAROL CITY, FL, 33055 |
Name | Role | Address |
---|---|---|
BLEMUR PIERRE R | President | 18373 NW 27TH AVE, CAROL CITY, FL, 33055 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2011-09-26 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
REINSTATEMENT | 1998-08-24 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 1997-09-26 | No data | No data |
REINSTATEMENT | 1990-11-26 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 1990-11-09 | No data | No data |
Date of last update: 02 Feb 2025
Sources: Florida Department of State