| Entity Name: | CRISTAL COMMUNITY HEALTH CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 28 May 2019 (6 years ago) |
| Date of dissolution: | 07 Feb 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 07 Feb 2024 (a year ago) |
| Document Number: | L19000142480 |
| FEI/EIN Number | 84-2207358 |
| Address: | 8255 NW 186 ST, 1004, HIALEAH, FL 33015 |
| Mail Address: | 8255 NW 186 ST, 1004, HIALEAH, FL 33015 |
| ZIP code: | 33015 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194378901 | 2019-07-20 | 2022-01-28 | 931 SW 122ND AVE, MIAMI, FL, 331842477, US | 931 SW 122ND AVE, MIAMI, FL, 331842477, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 786-326-6308 |
Authorized person
| Name | MARIA PATRICIA GOMEZ |
| Role | OWNER |
| Phone | 7863266308 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOMEZ, MARIA P | Agent | 8255 NW 186 ST, 1004, HIALEAH, FL 33015 |
| Name | Role | Address |
|---|---|---|
| GOMEZ, MARIA P | Manager | 8255 NW 186 ST, 1004 HIALEAH, FL 33015 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-02-07 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-10 | 8255 NW 186 ST, 1004, HIALEAH, FL 33015 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-10 | 8255 NW 186 ST, 1004, HIALEAH, FL 33015 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-10 | 8255 NW 186 ST, 1004, HIALEAH, FL 33015 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-02-07 |
| ANNUAL REPORT | 2023-04-10 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-23 |
| ANNUAL REPORT | 2020-06-18 |
| Florida Limited Liability | 2019-05-28 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
