| Entity Name: | ATLANTIS PRO-MED, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Feb 2001 (24 years ago) |
| Document Number: | P01000016397 |
| FEI/EIN Number | 651078626 |
| Address: | 8215 NW 64 ST, BAY 2, MIAMI, FL, 33166 |
| Mail Address: | 8215 NW 64 ST, BAY 2, MIAMI, FL, 33166 |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225020902 | 2005-08-18 | 2020-08-22 | 8215 NW 64TH ST, BAY 2, MIAMI, FL, 331662767, US | 8215 NW 64TH ST, BAY 2, MIAMI, FL, 331662767, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 877-477-2764 |
| Fax | 8772765431 |
Authorized person
| Name | MR. RICARDO AGUERA |
| Role | C.F.O |
| Phone | 3054775430 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 1928 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| License Number | ORF 122 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBSFL |
| Number | M2648 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AGUERA RICARDO R | Agent | 9965 N.W. 51 TERR, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| AGUERA RICARDO R | President | POB 667838, MIAMI, FL, 33166 |
| Name | Role | Address |
|---|---|---|
| AGUERA RICARDO R | Director | POB 667838, MIAMI, FL, 33166 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ JESSICA | Vice President | 8215 NW 64 ST, BAY 2, MIAMI, FL, 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2007-04-17 | No data | No data |
| AMENDMENT | 2006-10-06 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001015081 | LAPSED | 1000000461350 | MIAMI-DADE | 2013-05-23 | 2023-05-29 | $ 612.65 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J08000286204 | LAPSED | 08-13312 CA 06 | MIAMI-DADE COUNTY CIRCUIT CT | 2008-08-15 | 2013-08-27 | $34,163.16 | FEDERATED FINANCIAL CORPORATION OF AMERICA, 30955 NORTHWESTERN HIGHWAY, FARMINGTON HILLS, MI 48334 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
