| Entity Name: | CPC MEDICAL CENTER AT MILLER DRIVE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Mar 2002 (23 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P02000034481 |
| FEI/EIN Number | 010647975 |
| Address: | 10240 S.W. 56 STREET, 106, MIAMI, FL, 33165 |
| Mail Address: | 2455 SW 27 AVENUE, 100, MIAMI, FL, 33145 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669504767 | 2007-03-12 | 2012-12-05 | 2455 SW 27TH AVE, SUITE 100, MIAMI, FL, 331453663, US | 10240 SW 56TH ST, SUITE #106, MIAMI, FL, 331657071, US | |||||||||||||||||||
|
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| Phone | +1 305-854-6661 |
| Fax | 3058566954 |
| Phone | +1 305-598-8805 |
| Fax | 3055988109 |
Authorized person
| Name | MR. RICHARD CHERVONY |
| Role | VICE PRESIDENT |
| Phone | 3058546661 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CASTRO GEORGINA R | Agent | 2455 SW 27 AVE, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| CASTRO GEORGINA R | President | 2455 SW 27 AVENUE #100, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| CASTRO GEORGINA R | Secretary | 2455 SW 27 AVENUE #100, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| CASTRO GEORGINA R | Director | 2455 SW 27 AVENUE #100, MIAMI, FL, 33145 |
| CHERVONY RICHARD | Director | 2455 SW 27 AVENUE #100, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| CHERVONY RICHARD | Vice President | 2455 SW 27 AVENUE #100, MIAMI, FL, 33145 |
| Name | Role | Address |
|---|---|---|
| CHERVONY RICHARD | Treasurer | 2455 SW 27 AVENUE #100, MIAMI, FL, 33145 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-02-13 | 10240 S.W. 56 STREET, 106, MIAMI, FL 33165 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-02-13 | 2455 SW 27 AVE, 100, MIAMI, FL 33145 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-03-10 | 10240 S.W. 56 STREET, 106, MIAMI, FL 33165 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-12 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-03-16 |
| ANNUAL REPORT | 2014-03-12 |
| ANNUAL REPORT | 2013-03-26 |
| ANNUAL REPORT | 2012-02-13 |
| ANNUAL REPORT | 2011-03-09 |
| ANNUAL REPORT | 2010-02-18 |
| ANNUAL REPORT | 2009-01-27 |
| ANNUAL REPORT | 2008-01-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
