| Entity Name: | ELI MEDICAL CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Apr 2003 (22 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P03000041373 |
| FEI/EIN Number | 113684647 |
| Address: | 15373 sw 12 ter, MIAMI, FL, 33194, US |
| Mail Address: | 15373 sw 12 ter, MIAMI, FL, 33144, US |
| ZIP code: | 33194 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063454676 | 2006-06-11 | 2007-07-10 | 5935 SW 8TH ST, WEST MIAMI, FL, 331445037, US | 5935 SW 8TH ST, WEST MIAMI, FL, 331445037, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 305-265-1881 |
Authorized person
| Name | MR. ELIAS SEBASTIAN MUNGUIA |
| Role | PRESIDENT |
| Phone | 3052651881 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC4733 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MUNGUIA ELIAS S | Agent | 15373 sw 12 ter, MIAMI, FL, 33194 |
| Name | Role | Address |
|---|---|---|
| MUNGUIA ELIAS S | President | 15373 SW 12 TERR, MIAMI, FL, 33194 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-01-25 | 15373 sw 12 ter, MIAMI, FL 33194 | No data |
| CHANGE OF MAILING ADDRESS | 2013-01-25 | 15373 sw 12 ter, MIAMI, FL 33194 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-01-25 | 15373 sw 12 ter, MIAMI, FL 33194 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-01-12 | MUNGUIA, ELIAS S | No data |
| CANCEL ADM DISS/REV | 2005-10-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-01-25 |
| ANNUAL REPORT | 2012-01-05 |
| ANNUAL REPORT | 2011-01-12 |
| ANNUAL REPORT | 2010-01-11 |
| ANNUAL REPORT | 2009-04-14 |
| ANNUAL REPORT | 2008-01-03 |
| ANNUAL REPORT | 2007-01-09 |
| ANNUAL REPORT | 2006-02-01 |
| REINSTATEMENT | 2005-10-06 |
| Off/Dir Resignation | 2004-08-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
