| Entity Name: | AN EXCELLENT MEDICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Feb 2004 (21 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P04000037373 |
| FEI/EIN Number | 200792033 |
| Address: | 9995 SW 72 STREET, SUITE 203, MIAMI, FL, 33173 |
| Mail Address: | 9995 SW 72 STREET, SUITE 203, MIAMI, FL, 33173 |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619002615 | 2007-02-22 | 2009-07-14 | 9995 SW 72ND ST STE 203, MIAMI, FL, 331734662, US | 9995 SW 72ND ST STE 203, MIAMI, FL, 331734662, US | |||||||||||||||||||
|
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| Phone | +1 305-273-3601 |
| Fax | 3052733635 |
Authorized person
| Name | ROBERTO GONZALEZ |
| Role | PRESIDENT |
| Phone | 3052733601 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME80610 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GONZALEZ ROBERTO | Agent | 9995 SW 72 STREET, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ ROBERTO | President | 11990 SW 94 CT., MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| CABRERA FRANCESCO M | Vice President | 9995 SW 72 STREET #203, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-16 | 9995 SW 72 STREET, SUITE 203, MIAMI, FL 33173 | No data |
| CHANGE OF MAILING ADDRESS | 2007-04-16 | 9995 SW 72 STREET, SUITE 203, MIAMI, FL 33173 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-16 | 9995 SW 72 STREET, SUITE 203, MIAMI, FL 33173 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-05-04 |
| ANNUAL REPORT | 2009-03-25 |
| ANNUAL REPORT | 2008-04-18 |
| ANNUAL REPORT | 2007-04-16 |
| ANNUAL REPORT | 2006-04-19 |
| ANNUAL REPORT | 2005-01-28 |
| Domestic Profit | 2004-02-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
