| Entity Name: | HORIZONTES MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 04 Nov 2021 (3 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L21000478309 |
| FEI/EIN Number | 87-3502045 |
| Address: | 9177 DICKENS AVE, SURFSIDE, FL 33154 |
| Mail Address: | 9177 DICKENS AVE, SURFSIDE, FL 33154 |
| ZIP code: | 33154 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891410239 | 2022-10-07 | 2022-10-07 | 2172 NE 123RD ST, NORTH MIAMI, FL, 331812902, US | 2172 NE 123RD ST, NORTH MIAMI, FL, 331812902, US | |||||||||||||||||||||
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| Phone | +1 786-542-5140 |
| Fax | 7865589048 |
Authorized person
| Name | IBRAHIM MENENDEZ PEREZ |
| Role | MD / OWNER |
| Phone | 7865425140 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 109993300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MENENDEZ PEREZ, IBRAHIM | Agent | 9177 DICKENS AVE, SURFSIDE, FL 33154 |
| Name | Role | Address |
|---|---|---|
| MENENDEZ PEREZ, IBRAHIM | Authorized Member | 9177 DICKENS AVE, SURFSIDE, FL 33154 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-05-01 |
| Florida Limited Liability | 2021-11-04 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
