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CHARITY MEDICAL GROUP, INC.

Company Details

Entity Name: CHARITY MEDICAL GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 02 Aug 2002 (22 years ago)
Document Number: P02000083913
FEI/EIN Number 141841322
Mail Address: 7951 SW 40 STREET, SUITE 206, MIAMI, FL, 33155
Address: 2646 SW 87TH AVENUE, MIAMI, FL, 33165
ZIP code: 33165
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174683635 2006-12-12 2020-08-22 2646 SW 87TH AVE, MIAMI, FL, 331652031, US 2646 SW 87TH AVE, MIAMI, FL, 331652031, US

Contacts

Phone +1 305-227-4828
Fax 3052275878

Authorized person

Name MISS DRISY REYES
Role PRESIDENT
Phone 3052274828

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role Address
DIAZ O J Agent 7951 SW 40 ST STE 206, MIAMI, FL, 33155

President

Name Role Address
REYES DRISY President 7951 SW 40 ST STE 206, MIAMI, FL, 33155

Secretary

Name Role Address
REYES DRISY Secretary 7951 SW 40 ST STE 206, MIAMI, FL, 33155

Treasurer

Name Role Address
REYES DRISY Treasurer 7951 SW 40 ST STE 206, MIAMI, FL, 33155

Director

Name Role Address
REYES DRISY Director 7951 SW 40 ST STE 206, MIAMI, FL, 33155

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data
AMENDMENT 2002-10-22 No data No data

Date of last update: 01 Jan 2025

Sources: Florida Department of State