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SURGICAL SERVICE OF DADE COUNTY CORP.

Company Details

Entity Name: SURGICAL SERVICE OF DADE COUNTY CORP.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 30 Aug 2000 (24 years ago)
Document Number: P00000082221
FEI/EIN Number 651039915
Address: 1165 WEST 49 ST, 208, HIALEAH, FL, 33012, US
Mail Address: 1165 WEST 49 ST, 208, HIALEAH, FL, 33012, US
ZIP code: 33012
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881791341 2006-09-19 2008-12-05 1165 W 49TH ST STE 208, HIALEAH, FL, 330123373, US 1165 W 49TH ST STE 208, HIALEAH, FL, 330123373, US

Contacts

Phone +1 305-512-5480
Fax 3055125489

Authorized person

Name MRS. LAURA LEIVA
Role PHYSICIAN CONSULTANT
Phone 3054589895

Taxonomy

Taxonomy Code 174400000X - Specialist
License Number ME67164
State FL
Is Primary Yes

Agent

Name Role Address
HERNANDEZ MARIA E Agent 1165 W 49 ST, HIALEAH, FL, 33012

President

Name Role Address
HERNANDEZ MARIA E President 1165 W. 49TH STREET 208, HIALEAH, FL, 33012

Secretary

Name Role Address
HERNANDEZ MARIA E Secretary 1165 W. 49TH STREET 208, HIALEAH, FL, 33012

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 No data No data
AMENDMENT 2007-01-17 No data No data
AMENDMENT 2005-04-27 No data No data
AMENDMENT 2004-11-05 No data No data
AMENDMENT 2004-08-09 No data No data
AMENDMENT 2004-01-20 No data No data

Date of last update: 01 Jan 2025

Sources: Florida Department of State