| Entity Name: | R.F.G. MEDICAL CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Mar 2000 (25 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P00000031114 |
| FEI/EIN Number | 650998555 |
| Address: | 6421 SW 36 STREET, MIAMI, FL, 33155, US |
| Mail Address: | 6421 SW 36 STREET, MIAMI, FL, 33155, US |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588865828 | 2007-05-31 | 2020-08-22 | 5335 SW 8TH ST, CORAL GABLES, FL, 331342269, US | 5335 SW 8TH ST, CORAL GABLES, FL, 331342269, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 305-476-3173 |
| Fax | 3054763175 |
Authorized person
| Name | MR. FLAVIO DIAZ DE VILLEGAS |
| Role | PRESIDENT OWNER |
| Phone | 3054763173 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC4022 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA LICENSE |
| Number | HCC4022 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LOPEZ ALBERTO C | Agent | 6421 SW 36 STREET, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| LOPEZ ALBERT C | President | 6421 SW 36 STREET, MIAMI, FL, 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-15 | 6421 SW 36 STREET, MIAMI, FL 33155 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-15 | 6421 SW 36 STREET, MIAMI, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-15 | 6421 SW 36 STREET, MIAMI, FL 33155 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-02-15 | LOPEZ, ALBERTO C | No data |
| REINSTATEMENT | 2010-10-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| AMENDMENT | 2008-06-11 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-02-09 |
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-01-28 |
| ANNUAL REPORT | 2012-01-16 |
| ANNUAL REPORT | 2011-01-13 |
| REINSTATEMENT | 2010-10-14 |
| ANNUAL REPORT | 2009-02-09 |
| Amendment | 2008-06-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
