| Entity Name: | 7TH AVENUE MEDICAL PLAZA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 May 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: | P04000071947 |
| FEI/EIN Number | 861106208 |
| Mail Address: | 10071 NW 7TH AVENUE, MIAMI, FL, 33150 |
| Address: | 10071 N.W. 7TH AVENUE, MIAMI, FL, 33150 |
| ZIP code: | 33150 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851974588 | 2021-04-30 | 2024-01-29 | 300 S PINE ISLAND RD STE 238, PLANTATION, FL, 333242631, US | 10071 NW 7TH AVE, MIAMI, FL, 331501348, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-403-7777 |
| Fax | 3054037700 |
Authorized person
| Name | CRISTIAN BRETON |
| Role | OWNER / SOLE MEMBER |
| Phone | 3056704424 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 115317600 |
| State | FL |
| Issuer | MEDICAID |
| Number | 117193800 |
| State | FL |
| Issuer | MEDICAID |
| Number | 118969400 |
| State | FL |
| Issuer | MEDICAID |
| Number | 002648900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SINGER TODD J | Agent | 10071 NW 7 AVENUE, MIAMI, FL, 33150 |
| Name | Role | Address |
|---|---|---|
| SINGER TODD J | President | 10071 NW 7TH AVE., MIAMI, FL, 33150 |
| Name | Role | Address |
|---|---|---|
| brASS HOWie | Vice President | 10071 NW 7 AVENUE, MIAMI, FL, 33150 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2017-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-09-28 | SINGER, TODD J | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-29 | 10071 N.W. 7TH AVENUE, MIAMI, FL 33150 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-03-16 | 10071 NW 7 AVENUE, MIAMI, FL 33150 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000525288 | TERMINATED | 1000000345458 | MIAMI-DADE | 2013-03-04 | 2023-03-06 | $ 2,231.76 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J10000151271 | TERMINATED | 1000000123718 | DADE | 2009-06-08 | 2030-02-16 | $ 1,540.99 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI NORTH SERVICE CENTER, 8175 NW 12TH ST STE 119, MIAMI FL331261828 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2017-09-28 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-03-27 |
| ANNUAL REPORT | 2014-03-04 |
| ANNUAL REPORT | 2013-03-07 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-03-16 |
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-04-30 |
| ANNUAL REPORT | 2008-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
