| Entity Name: | SOUTH FLORIDA COMMUNITY CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 Jul 2004 (21 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P04000111784 |
| FEI/EIN Number | 201429551 |
| Address: | 7171 CORAL WAY, 207, MIAMI, FL, 33155 |
| Mail Address: | 7171 CORAL WAY, 207, MIAMI, FL, 33155 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255414850 | 2006-10-24 | 2008-01-25 | 7171 CORAL WAY, SUITE #207, MIAMI, FL, 331551449, US | 7171 CORAL WAY, SUITE #207, MIAMI, FL, 331551449, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 305-261-6888 |
| Fax | 3052616310 |
Authorized person
| Name | MRS. MARIA A DIAZ |
| Role | PRESIDENT |
| Phone | 3052616888 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | HCC6076 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| REVUELTA TAMARA | Agent | 7171 CORAL WAY, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| REVUELTA TAMARA | President | 7171 CORAL WAY # 207, MIAMI, FL, 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| AMENDMENT | 2009-05-18 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-05-18 | REVUELTA, TAMARA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-02-06 | 7171 CORAL WAY, 207, MIAMI, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2009-02-06 | 7171 CORAL WAY, 207, MIAMI, FL 33155 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-02-06 | 7171 CORAL WAY, 207, MIAMI, FL 33155 | No data |
| Name | Date |
|---|---|
| Amendment | 2009-05-18 |
| ANNUAL REPORT | 2009-02-06 |
| ANNUAL REPORT | 2008-04-24 |
| ANNUAL REPORT | 2007-03-06 |
| Off/Dir Resignation | 2007-01-26 |
| ANNUAL REPORT | 2006-10-17 |
| ANNUAL REPORT | 2006-04-28 |
| ANNUAL REPORT | 2005-05-11 |
| Domestic Profit | 2004-07-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
