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BLUE MEDICAL NETWORK INC

Company Details

Entity Name: BLUE MEDICAL NETWORK INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 07 Oct 2004 (20 years ago)
Date of dissolution: 24 Aug 2015 (9 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 24 Aug 2015 (9 years ago)
Document Number: P04000139159
FEI/EIN Number 201716608
Address: 10250 S.W. 56 STREET, SUITE # B-201, MIAMI, FL, 33165
Mail Address: 10250 S.W. 56 STREET, SUITE # B-201, MIAMI, FL, 33165
ZIP code: 33165
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255446902 2006-08-21 2009-04-22 330 SW 27TH AVE, SUITE 703, MIAMI, FL, 331352961, US 330 SW 27TH AVE, SUITE 703, MIAMI, FL, 331352961, US

Contacts

Phone +1 305-646-6722
Fax 3056466723

Authorized person

Name ROLANDO VALDES
Role PRESIDENT
Phone 3054442651

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Agent

Name Role Address
LISETT RAVENTOS Agent 10250 S.W. 56 STREET, MIAMI, FL, 33165

President

Name Role Address
RAVENTOS LISETT President 10250 S.W. 56 STREET, SUITE B-201, MIAMI, FL, 33165

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2015-08-24 No data No data
REGISTERED AGENT ADDRESS CHANGED 2012-02-04 10250 S.W. 56 STREET, SUITE #B-201, MIAMI, FL 33165 No data
CHANGE OF PRINCIPAL ADDRESS 2012-02-04 10250 S.W. 56 STREET, SUITE # B-201, MIAMI, FL 33165 No data
CHANGE OF MAILING ADDRESS 2012-02-04 10250 S.W. 56 STREET, SUITE # B-201, MIAMI, FL 33165 No data
REGISTERED AGENT NAME CHANGED 2010-03-31 LISETT, RAVENTOS No data
CANCEL ADM DISS/REV 2009-11-18 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
CANCEL ADM DISS/REV 2008-11-18 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2015-08-24
ANNUAL REPORT 2014-02-19
ANNUAL REPORT 2013-04-30
ANNUAL REPORT 2012-02-04
ANNUAL REPORT 2011-02-08
ANNUAL REPORT 2010-03-31
ANNUAL REPORT 2010-01-29
REINSTATEMENT 2009-11-18
REINSTATEMENT 2008-11-18
ANNUAL REPORT 2007-05-30

Date of last update: 03 Feb 2025

Sources: Florida Department of State