| Entity Name: | INPATIENT CLINICAL SOLUTIONS, INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 May 2000 (25 years ago) |
| Date of dissolution: | 21 Sep 2001 (23 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 21 Sep 2001 (23 years ago) |
| Document Number: | P00000046511 |
| Address: | 6574 NORTH STATE RD. 7, SUITE 153, COCONUT CREEK, FL, 33073-2635 |
| Mail Address: | 6574 NORTH STATE RD. 7, SUITE 153, COCONUT CREEK, FL, 33073-2635 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568476414 | 2006-07-28 | 2010-08-18 | 7551 WILES RD., SUITE 104, CORAL SPRINGS, FL, 330672064, US | 7551 WILES RD STE 104, CORAL SPRINGS, FL, 330672064, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 954-341-4245 |
| Fax | 9547528214 |
Authorized person
| Name | MRS. OZZIE BLOOM |
| Role | CEO |
| Phone | 9543414245 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID #01 |
| Number | 259621101 |
| State | FL |
| Issuer | MEDICAID |
| Number | 259621100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BLOOM OSNAH | Agent | 6617 STRATFORD DR, PARKLAND, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| LE CHRISTIAN M | President | 19830 NW 2ND ST, PEMBROKE PINES, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| LE CHRISTIAN M | Director | 19830 NW 2ND ST, PEMBROKE PINES, FL, 33029 |
| BLOOM OSNAH | Director | 6617 STRATFORD DR, PARKLAND, FL, 33067 |
| SHARMA HINA | Director | 2351-3 E ARAGON BLVD, SUNRISE, FL, 33313 |
| Name | Role | Address |
|---|---|---|
| BLOOM OSNAH | Vice President | 6617 STRATFORD DR, PARKLAND, FL, 33067 |
| Name | Role | Address |
|---|---|---|
| SHARMA HINA | Treasurer | 2351-3 E ARAGON BLVD, SUNRISE, FL, 33313 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | No data | No data |
| NAME CHANGE AMENDMENT | 2000-05-25 | INPATIENT CLINICAL SOLUTIONS, INCORPORATED | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2000-05-22 | 6574 NORTH STATE RD. 7, SUITE 153, COCONUT CREEK, FL 33073-2635 | No data |
| CHANGE OF MAILING ADDRESS | 2000-05-22 | 6574 NORTH STATE RD. 7, SUITE 153, COCONUT CREEK, FL 33073-2635 | No data |
| Name | Date |
|---|---|
| Name Change | 2000-05-25 |
| Domestic Profit | 2000-05-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
