Entity Name: | OREX MEDICAL CENTER CORPORATION |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 02 Jun 2000 (25 years ago) |
Date of dissolution: | 24 Sep 2021 (3 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 24 Sep 2021 (3 years ago) |
Document Number: | P00000053940 |
FEI/EIN Number | 651018011 |
Address: | 1140 WEST 50 STREET, HIALEAH, FL, 33012, US |
Mail Address: | 1140 WEST 50 STREET, HIALEAH, FL, 33012, US |
ZIP code: | 33012 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1023160991 | 2007-01-18 | 2014-05-06 | 4980 W 10TH AVE, SUITE 205, HIALEAH, FL, 330123437, US | 4980 W 10TH AVE, SUITE 205, HIALEAH, FL, 330123437, US | |||||||||||||||||||||||||
|
Phone | +1 305-556-4235 |
Fax | 3055564237 |
Authorized person
Name | MANUEL F FERNANDEZ |
Role | OWNER |
Phone | 3055564235 |
Taxonomy
Taxonomy Code | 208D00000X - General Practice Physician |
License Number | ME66369 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 373393902 |
State | FL |
Name | Role | Address |
---|---|---|
FERNANDEZ MANUEL F | Agent | 1140 WEST 50 STREET, HIALEAH, FL, 33012 |
Name | Role | Address |
---|---|---|
FERNANDEZ MANUEL F | President | 1140 WEST 50 STREET, HIALEAH, FL, 33012 |
Name | Role | Address |
---|---|---|
FERNANDEZ MANUEL F | Secretary | 1140 WEST 50 STREET, HIALEAH, FL, 33012 |
Name | Role | Address |
---|---|---|
FERNANDEZ MANUEL F | Treasurer | 1140 WEST 50 STREET, HIALEAH, FL, 33012 |
Name | Role | Address |
---|---|---|
FERNANDEZ MANUEL F | Director | 1140 WEST 50 STREET, HIALEAH, FL, 33012 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2020-03-08 | 1140 WEST 50 STREET, Suite 302, HIALEAH, FL 33012 | No data |
CHANGE OF MAILING ADDRESS | 2020-03-08 | 1140 WEST 50 STREET, Suite 302, HIALEAH, FL 33012 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2020-03-08 | 1140 WEST 50 STREET, Suite 302, HIALEAH, FL 33012 | No data |
REGISTERED AGENT NAME CHANGED | 2001-02-15 | FERNANDEZ, MANUEL F | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2020-03-08 |
ANNUAL REPORT | 2019-03-22 |
ANNUAL REPORT | 2018-04-06 |
ANNUAL REPORT | 2017-04-20 |
ANNUAL REPORT | 2016-04-20 |
ANNUAL REPORT | 2015-04-23 |
ANNUAL REPORT | 2014-04-07 |
ANNUAL REPORT | 2013-01-23 |
ANNUAL REPORT | 2012-02-01 |
ANNUAL REPORT | 2011-03-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State