| Entity Name: | BENEFICA HEALTH CENTER, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Mar 2004 (21 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P04000046258 |
| FEI/EIN Number | 200861844 |
| Address: | 3383 N.W. 7TH STREET, #109, MIAMI, FL, 33125 |
| Mail Address: | 3383 N.W. 7TH STREET, #109, MIAMI, FL, 33125 |
| ZIP code: | 33125 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821425802 | 2013-10-04 | 2013-10-04 | 3383 NW 7TH ST, SUITE# 109, MIAMI, FL, 331254140, US | 3383 NW 7TH ST, SUITE# 109, MIAMI, FL, 331254140, US | |||||||||||||||||||||||||
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| Phone | +1 305-642-8718 |
| Fax | 3056428792 |
Authorized person
| Name | MR. OTTO BALBINO ELCORO |
| Role | PRESIDENT-OWNER |
| Phone | 3056428718 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC7167 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA LICENSE |
| Number | HCC7167 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARCIA IVELIS | Agent | 3383 NW 7TH STREET, MIAMI, FL, 33125 |
| Name | Role | Address |
|---|---|---|
| GARCIA IVELIS | President | 3383 N.W. 7TH STREET #109, MIAMI, FL, 33125 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-09-19 | 3383 NW 7TH STREET, SUITE 109, MIAMI, FL 33125 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-09-19 | GARCIA , IVELIS | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-12-09 | 3383 N.W. 7TH STREET, #109, MIAMI, FL 33125 | No data |
| CHANGE OF MAILING ADDRESS | 2009-12-09 | 3383 N.W. 7TH STREET, #109, MIAMI, FL 33125 | No data |
| AMENDMENT | 2009-12-09 | No data | No data |
| AMENDMENT | 2008-03-26 | No data | No data |
| AMENDMENT | 2008-02-08 | No data | No data |
| AMENDMENT | 2008-01-22 | No data | No data |
| AMENDMENT AND NAME CHANGE | 2006-04-07 | BENEFICA HEALTH CENTER, CORP. | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2017-12-14 |
| AMENDED ANNUAL REPORT | 2017-09-19 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-02-24 |
| ANNUAL REPORT | 2014-04-16 |
| ANNUAL REPORT | 2013-04-26 |
| ANNUAL REPORT | 2012-04-21 |
| ANNUAL REPORT | 2011-04-12 |
| ANNUAL REPORT | 2010-03-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
