| Entity Name: | CARRION UROLOGICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 Sep 2003 (21 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P03000102606 |
| FEI/EIN Number | 200413400 |
| Address: | 1321 N.W. 14TH STREET, SUITE 600, MIAMI, FL, 33125, US |
| Mail Address: | 1321 N.W. 14TH STREET, SUITE 600, MIAMI, FL, 33125, US |
| ZIP code: | 33125 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063624799 | 2007-05-04 | 2013-03-10 | 1321 NW 14TH ST, SUITE 600, MIAMI, FL, 331251673, US | 1321 NW 14TH ST, SUITE 600, MIAMI, FL, 331251673, US | |||||||||||||||||||||||||
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| Phone | +1 305-547-2534 |
| Fax | 3053267210 |
Authorized person
| Name | DR. HERNAN MIGUEL CARRION |
| Role | PRESIDENT |
| Phone | 3055472534 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME20544 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 053422600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TARABOULOS JACK | Agent | 9300 S DADELAND BLVD, MIAMI, FL, 33156 |
| Name | Role | Address |
|---|---|---|
| CARRION HERNAN M | Director | 1321 N.W. 14TH STREET SUITE 600, MIAMI, FL, 33125 |
| CARRION ANA | Director | 8840 SW 105 ST, MIAMI, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-25 | 1321 N.W. 14TH STREET, SUITE 600, MIAMI, FL 33125 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-25 | 1321 N.W. 14TH STREET, SUITE 600, MIAMI, FL 33125 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-04-25 | TARABOULOS, JACK | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-25 | 9300 S DADELAND BLVD, 600, MIAMI, FL 33156 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-18 |
| ANNUAL REPORT | 2013-03-14 |
| ANNUAL REPORT | 2012-04-25 |
| ANNUAL REPORT | 2011-04-28 |
| ANNUAL REPORT | 2010-04-26 |
| ANNUAL REPORT | 2009-03-26 |
| ANNUAL REPORT | 2008-04-25 |
| ANNUAL REPORT | 2007-04-27 |
| ANNUAL REPORT | 2006-03-15 |
| ANNUAL REPORT | 2005-07-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
