Entity Name: | ACCIDENT CLINICAL CENTER, INC |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 09 May 2002 (23 years ago) |
Document Number: | P02000051254 |
FEI/EIN Number | 810555691 |
Address: | 7171 CORAL WAY, SUITE 402, MIAMI, FL, 33155 |
Mail Address: | 7171 CORAL WAY, SUITE 402, MIAMI, FL, 33155 |
ZIP code: | 33155 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1437240587 | 2006-09-27 | 2020-08-22 | 8745 SW 144 STREET, MIAMI, FL, 33176, US | 7171 CORAL WAY, STE 402, MIAMI, FL, 33155, US | |||||||||||||||||||||
|
Phone | +1 786-326-4835 |
Fax | 3052595396 |
Fax | 3052596396 |
Authorized person
Name | PAMELA MENDOZA |
Role | OFFICE MANAGER |
Phone | 7863264835 |
Taxonomy
Taxonomy Code | 261Q00000X - Clinic/Center |
License Number | HCC4525 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
RAMIREZ CASTELLANOS AMAURY | Agent | 7171 CORAL WAY SUITE 402, MIAMI, FL, 33155 |
Name | Role | Address |
---|---|---|
RAMIREZ CASTELLANOS AMAURY | President | 7171 CORAL WAY, MIAMI, FL, 33155 |
Name | Role | Address |
---|---|---|
RAMIREZ CASTELLANOS AMAURY | Secretary | 7171 CORAL WAY, MIAMI, FL, 33155 |
Name | Role | Address |
---|---|---|
RAMIREZ CASTELLANOS AMAURY | Treasurer | 7171 CORAL WAY, MIAMI, FL, 33155 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
AMENDMENT | 2006-05-31 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State