| Entity Name: | JACKSON MEDICAL CENTER CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 02 Dec 2004 (20 years ago) |
| Date of dissolution: | 26 Sep 2008 (16 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2008 (16 years ago) |
| Document Number: | P04000162692 |
| FEI/EIN Number | 201951617 |
| Address: | 138 NE 1 ST, 3RD FLOOR, MIAMI, FL, 33132 |
| Mail Address: | 138 NE 1 ST, 3RD FLOOR, MIAMI, FL, 33132 |
| ZIP code: | 33132 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306892179 | 2006-05-25 | 2020-08-22 | 138 NE 1ST AVE, 2 FLOOR, MIAMI, FL, 331322106, US | 138 NE 1ST AVE, 2 FLOOR, MIAMI, FL, 331322106, US | |||||||||||||||||||
|
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| Phone | +1 305-416-0014 |
| Fax | 3054160013 |
Authorized person
| Name | JORGE L LEON |
| Role | OWNER |
| Phone | 3054160014 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | HCC6855 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEON JORGE L | Agent | 138 NE 1ST AVENUE, MIAMI, FL, 33132 |
| Name | Role | Address |
|---|---|---|
| LEON JORGE L | President | 138 NE 1ST AVE., 3RD FLOOR, MIAMI, FL, 33132 |
| Name | Role | Address |
|---|---|---|
| LEON JORGE L | Director | 138 NE 1ST AVE., 3RD FLOOR, MIAMI, FL, 33132 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2006-10-20 | 138 NE 1 ST, 3RD FLOOR, MIAMI, FL 33132 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-10-20 | 138 NE 1 ST, 3RD FLOOR, MIAMI, FL 33132 | No data |
| AMENDMENT | 2006-05-03 | No data | No data |
| CANCEL ADM DISS/REV | 2005-10-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| AMENDMENT | 2005-08-04 | No data | No data |
| AMENDMENT | 2005-06-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2005-06-21 | LEON, JORGE L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-06-21 | 138 NE 1ST AVENUE, 3RD FLOOR, MIAMI, FL 33132 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2007-08-31 |
| Amendment | 2006-04-03 |
| ANNUAL REPORT | 2006-01-20 |
| REINSTATEMENT | 2005-10-04 |
| Amendment | 2005-08-04 |
| Amendment | 2005-06-21 |
| Domestic Profit | 2004-12-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
