| Entity Name: | FLORIDA MEDICAL CENTER & ASSOCIATES, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Nov 2003 (21 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | P03000125520 |
| FEI/EIN Number | 680572335 |
| Address: | 7913 NW 2 STREET, MIAMI, FL, 33126 |
| Mail Address: | 7913 NW 2 STREET, MIAMI, FL, 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821006974 | 2006-08-04 | 2020-08-22 | 7913 NW 2ND ST, MIAMI, FL, 331268000, US | 7913 NW 2ND ST, MIAMI, FL, 331268000, US | |||||||||||||||||||
|
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| Phone | +1 786-388-1554 |
| Fax | 7863881994 |
Authorized person
| Name | MARTA L ROA |
| Role | ADMINISTRATOR |
| Phone | 7863881554 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | HCC4612 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROA MARTHA L | Agent | 7913 NW 2 STREET, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| ROA MARTHA L | President | 7913 NW 2 STREET, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| ROA MARTHA L | Vice President | 7913 NW 2 STREET, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| ROA MARTHA L | Secretary | 7913 NW 2 STREET, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| ROA MARTHA L | Treasurer | 7913 NW 2 STREET, MIAMI, FL, 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2006-06-30 | ROA, MARTHA L | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-06-30 | 7913 NW 2 STREET, MIAMI, FL 33126 | No data |
| CHANGE OF MAILING ADDRESS | 2005-06-30 | 7913 NW 2 STREET, MIAMI, FL 33126 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-06-30 | 7913 NW 2 STREET, MIAMI, FL 33126 | No data |
| AMENDMENT | 2004-02-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2006-06-30 |
| ANNUAL REPORT | 2005-06-30 |
| ANNUAL REPORT | 2004-04-30 |
| Amendment | 2004-02-16 |
| Domestic Profit | 2003-11-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
