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PACIFIC MEDICAL & REHABILITATION CENTER INC.

Company Details

Entity Name: PACIFIC MEDICAL & REHABILITATION CENTER INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 03 May 2004 (21 years ago)
Date of dissolution: 05 Mar 2012 (13 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 05 Mar 2012 (13 years ago)
Document Number: P04000071486
FEI/EIN Number 20-1070986
Address: 8328 SW 40TH STREET, MIAMI, FL 33155
Mail Address: 8328 SW 40TH STREET, MIAMI, FL 33155
ZIP code: 33155
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932384047 2008-01-08 2012-01-13 8328 SW 40TH ST, MIAMI, FL, 33155, US 8328 SW 40TH ST, MIAMI, FL, 33155, US

Contacts

Phone +1 305-553-0560
Fax 3055533666

Authorized person

Name JOSE G VALIENTE
Role OWNER/PRESIDENT
Phone 3055530560

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
License Number ME23012
State FL
Is Primary Yes

Agent

Name Role Address
NUNEZ, JOSE A Agent 2112 W 68 STREET, HIALEAH, FL 33016

President

Name Role Address
VALIENTE, JOSE G President 8328 S.W. 40TH STREET, MIAMI, FL 33155

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2012-03-05 No data No data
REGISTERED AGENT NAME CHANGED 2011-11-08 NUNEZ, JOSE A No data
AMENDMENT 2011-11-08 No data No data
REGISTERED AGENT ADDRESS CHANGED 2011-11-08 2112 W 68 STREET, HIALEAH, FL 33016 No data
AMENDMENT 2010-10-28 No data No data
AMENDMENT 2009-06-11 No data No data
CHANGE OF PRINCIPAL ADDRESS 2008-06-23 8328 SW 40TH STREET, MIAMI, FL 33155 No data
CHANGE OF MAILING ADDRESS 2008-06-23 8328 SW 40TH STREET, MIAMI, FL 33155 No data
AMENDMENT 2007-03-05 No data No data
CANCEL ADM DISS/REV 2006-10-06 No data No data

Documents

Name Date
Amendment 2107-03-05
VOLUNTARY DISSOLUTION 2012-03-05
Amendment 2011-11-08
ANNUAL REPORT 2011-04-27
Amendment 2010-10-28
ANNUAL REPORT 2010-01-21
Amendment 2009-06-11
ANNUAL REPORT 2009-04-29
Reg. Agent Change 2008-06-23
ANNUAL REPORT 2008-01-14

Date of last update: 05 Jan 2025

Sources: Florida Department of State