Search icon

WEST 49TH STREET E.R. PHYSICIAN CORP. - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: WEST 49TH STREET E.R. PHYSICIAN CORP.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 28 Jun 1990 (35 years ago)
Date of dissolution: 22 Sep 2017 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2017 (8 years ago)
Document Number: L84026
FEI/EIN Number 650207115
Address: 1501 SW 42 AVENUE, CORAL GABLES, FL, 33134
Mail Address: 1501 SW 42 AVENUE, P O BOX 14 1156, CORAL GABLES, FL, 33134
ZIP code: 33134
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FORMAN MAX President 1501 SW LEJEUNE ROAD, CORAL GABLES, FL, 33134
FORMAN MAX Agent 1501 SW LEJEUNE ROAD, CORAL GABLES, FL, 33134

National Provider Identifier

NPI Number:
1922128826

Authorized Person:

Name:
MR. MARK EARLY
Role:
CHIEF FINANCIAL OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
282N00000X - General Acute Care Hospital
Is Primary:
No
Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
No
Selected Taxonomy:
207PE0004X - Emergency Medical Services (Emergency Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
3058269002

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 - -
REGISTERED AGENT NAME CHANGED 2012-01-04 FORMAN, MAX -
CHANGE OF PRINCIPAL ADDRESS 2009-01-06 1501 SW 42 AVENUE, CORAL GABLES, FL 33134 -
CHANGE OF MAILING ADDRESS 2009-01-06 1501 SW 42 AVENUE, CORAL GABLES, FL 33134 -
REGISTERED AGENT ADDRESS CHANGED 2003-12-23 1501 SW LEJEUNE ROAD, CORAL GABLES, FL 33134 -

Documents

Name Date
ANNUAL REPORT 2016-01-26
ANNUAL REPORT 2015-01-12
ANNUAL REPORT 2014-01-09
ANNUAL REPORT 2013-01-03
ANNUAL REPORT 2012-01-04
ANNUAL REPORT 2011-01-06
ANNUAL REPORT 2010-01-06
ANNUAL REPORT 2009-01-06
ANNUAL REPORT 2008-01-07
ANNUAL REPORT 2007-01-17

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 02 Aug 2025

Sources: Florida Department of State