| Entity Name: | ROSE MED DIAGNOSTIC CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Jul 2000 (25 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P00000071617 |
| FEI/EIN Number | 651029869 |
| Address: | 1235 N KROME AVE, SUITE R, HOMESTEAD, FL, 33030 |
| Mail Address: | 1235 N KROME AVE, SUITE R, HOMESTEAD, FL, 33030 |
| ZIP code: | 33030 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538375936 | 2007-05-15 | 2008-07-18 | 1235 N KROME AVE, SUITE R, HOMESTEAD, FL, 330304204, US | 1235 N KROME AVE, SUITE R, HOMESTEAD, FL, 330304204, US | |||||||||||||||||||||||||
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| Phone | +1 305-242-1160 |
| Fax | 3052421161 |
Authorized person
| Name | NILDA R ACOSTA |
| Role | PRESIDENT |
| Phone | 3052421160 |
Taxonomy
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| License Number | HCC2775 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 266069500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ACOSTA NILDA R | Agent | 1235 N KROME AVE, HOMESTEAD, FL, 33030 |
| Name | Role | Address |
|---|---|---|
| ACOSTA NILDA R | President | 1235 N. KROME AVE, HOMESTEAD, FL, 33030 |
| Name | Role | Address |
|---|---|---|
| ACOSTA NILDA R | Secretary | 1235 N. KROME AVE, HOMESTEAD, FL, 33030 |
| Name | Role | Address |
|---|---|---|
| ACOSTA NILDA R | Treasurer | 1235 N. KROME AVE, HOMESTEAD, FL, 33030 |
| Name | Role | Address |
|---|---|---|
| ACOSTA NILDA R | Director | 1235 N. KROME AVE, HOMESTEAD, FL, 33030 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-11 | 1235 N KROME AVE, SUITE R, HOMESTEAD, FL 33030 | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-11 | 1235 N KROME AVE, SUITE R, HOMESTEAD, FL 33030 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-02-11 | ACOSTA, NILDA R | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-04-29 | 1235 N KROME AVE, HOMESTEAD, FL 33030 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-20 |
| ANNUAL REPORT | 2010-02-11 |
| ANNUAL REPORT | 2009-02-19 |
| ANNUAL REPORT | 2008-04-23 |
| ANNUAL REPORT | 2007-04-25 |
| ANNUAL REPORT | 2006-05-03 |
| ANNUAL REPORT | 2005-04-29 |
| ANNUAL REPORT | 2004-04-21 |
| ANNUAL REPORT | 2003-04-24 |
| ANNUAL REPORT | 2002-03-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
