| Entity Name: | HIALEAH DERMATOLOGY AND COSMETIC CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 20 Mar 2006 (19 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | L06000029294 |
| FEI/EIN Number | 42-1698869 |
| Address: | 7000 W 12 AVE., SUITE 3 & 4, HIALEAH, FL 33014 |
| Mail Address: | 7000 W 12 AVE., SUITE 3 & 4, HIALEAH, FL 33014 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558450908 | 2006-10-12 | 2023-03-07 | 7000 W 12TH AVE, SUITE#4, HIALEAH, FL, 330145154, US | 7000 W 12TH AVE, SUITE#4, HIALEAH, FL, 330145154, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-822-0678 |
| Fax | 3058220698 |
Authorized person
| Name | DR. NELSON EDDIE VELAZQUEZ |
| Role | PRESIDENT |
| Phone | 3058220678 |
Taxonomy
| Taxonomy Code | 207NS0135X - Procedural Dermatology Physician |
| License Number | OS6127 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE NUMBER |
| Number | OS6127 |
| State | FL |
| Issuer | OCCUPATIONAL LICENSE |
| Number | 600471-7 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VELAZQUEZ, NELSON | Agent | 7060 W 12 AVE, SUITE 3 &4, HIALEAH, FL 33014 |
| Name | Role | Address |
|---|---|---|
| VELAZQUEZ, NELSON | Managing Member | 7000 W 12 AVE # 3 & $, HIALEAH, FL 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2007-01-22 | VELAZQUEZ, NELSON | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-01-22 | 7060 W 12 AVE, SUITE 3 &4, HIALEAH, FL 33014 | No data |
| LC NAME CHANGE | 2006-09-15 | HIALEAH DERMATOLOGY AND COSMETIC CENTER, LLC | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000061591 | LAPSED | 09-37169 CA 10 | 11TH JUDICIAL CIRCUIT | 2011-12-16 | 2017-02-01 | $35,129.87 | EVERBANK COMMERICAL FINANCE, INC., 10 WATERVIEW BLVD., PARSIPPANY, NJ 07054 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-02-11 |
| ANNUAL REPORT | 2007-01-22 |
| LC Name Change | 2006-09-15 |
| Florida Limited Liability | 2006-03-20 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
