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XCELLENT MEDICAL SERVICES, INC.

Company Details

Entity Name: XCELLENT MEDICAL SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 04 Feb 2002 (23 years ago)
Document Number: P02000012481
FEI/EIN Number 020542696
Address: 3900 W. FLAGLER ST., MIAMI, FL, 33134
Mail Address: 3900 W. FLAGLER ST., MIAMI, FL, 33134
ZIP code: 33134
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003000290 2007-08-30 2008-04-20 3900 W FLAGLER ST, CORAL GABLES, FL, 331341608, US 3900 W FLAGLER ST, CORAL GABLES, FL, 331341608, US

Contacts

Phone +1 305-476-0069
Fax 3054760070

Authorized person

Name ISR AEL RODRIGUEZ
Role PRESIDENT
Phone 3054760069

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
License Number HCC4227
State FL
Is Primary Yes

Agent

Name Role Address
ALONSO VANESSA Agent 13141 SW 5 ST, MIAMI, FL, 33184

President

Name Role Address
RODRIGUEZ ISRAEL President 1300 SW 122 AVE #111A, MIAMI, FL, 33184

Director

Name Role Address
RODRIGUEZ ISRAEL Director 1300 SW 122 AVE #111A, MIAMI, FL, 33184

General Manager

Name Role Address
ALONSO VANESSA General Manager 13141 SW 5 ST, MIAMI, FL, 33184

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data
AMENDMENT 2006-12-14 No data No data

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J10000276482 ACTIVE 1000000148317 DADE 2009-11-24 2030-02-16 $ 624.22 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SOUTH SERVICE CENTER, 8175 NW 12TH ST STE 418, MIAMI FL331261828
J16000538052 ACTIVE 1000000148316 DADE 2009-11-24 2036-09-09 $ 256.01 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828

Date of last update: 01 Jan 2025

Sources: Florida Department of State