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ACCIDENT CLINICAL CENTER, INC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
RAMIREZ CASTELLANOS AMAURY Agent 7171 CORAL WAY SUITE 402, MIAMI, FL, 33155

President

Name Role Address
RAMIREZ CASTELLANOS AMAURY President 7171 CORAL WAY, MIAMI, FL, 33155

Secretary

Name Role Address
RAMIREZ CASTELLANOS AMAURY Secretary 7171 CORAL WAY, MIAMI, FL, 33155

Treasurer

Name Role Address
RAMIREZ CASTELLANOS AMAURY Treasurer 7171 CORAL WAY, MIAMI, FL, 33155

Events

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