Entity Name: | MEDISON MEDICAL CENTER CORP |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 14 Nov 2002 (22 years ago) |
Document Number: | P02000121717 |
FEI/EIN Number | 141856020 |
Address: | 4150 NW 7TH ST., #208, MIAMI, FL, 33126, US |
Mail Address: | 4150 NW 7TH ST., #208, MIAMI, FL, 33126, US |
ZIP code: | 33126 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1235187618 | 2006-05-05 | 2020-08-22 | 5524 SW 8TH ST, CORAL GABLES, FL, 331342220, US | 5524 SW 8TH ST, CORAL GABLES, FL, 331342220, US | |||||||||||||||||||||||||
|
Phone | +1 305-442-1356 |
Fax | 3054421303 |
Authorized person
Name | ALINA HERNANDEZ |
Role | PRESIDENT |
Phone | 3054421356 |
Taxonomy
Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
License Number | HCC6563 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | HEALTH CARE CLINIC |
Number | HCC6563 |
State | FL |
Name | Role | Address |
---|---|---|
ALINA HERNANDEZ | Agent | 4150 NW 7TH ST., #208, MIAMI, FL, 33126 |
Name | Role | Address |
---|---|---|
CARLOS RAMIREZ | President | 4150 NW 7TH ST., #208, MIAMI, FL, 33126 |
HERNANDEZ ALINA | President | 4150 NW 7TH ST., #208, MIAMI, FL, 33126 |
Name | Role | Address |
---|---|---|
HERNANDEZ ALINA | Vice President | 4150 NW 7TH ST., #208, MIAMI, FL, 33126 |
Name | Role | Address |
---|---|---|
HERNANDEZ ALINA | Secretary | 4150 NW 7TH ST., #208, MIAMI, FL, 33126 |
Name | Role | Address |
---|---|---|
HERNANDEZ ALINA | Treasurer | 4150 NW 7TH ST., #208, MIAMI, FL, 33126 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
AMENDMENT | 2006-10-31 | No data | No data |
AMENDMENT | 2005-08-30 | No data | No data |
AMENDMENT | 2005-08-18 | No data | No data |
AMENDMENT | 2004-06-03 | No data | No data |
AMENDMENT AND NAME CHANGE | 2004-03-03 | MEDISON MEDICAL CENTER CORP | No data |
AMENDMENT | 2003-07-03 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State