| Entity Name: | RIF MEDICAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 20 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: | P04000169853 |
| FEI/EIN Number | 20-2087101 |
| Address: | 815 NW 57 AVE, SUITE 114, MIAMI, FL 33126 |
| Mail Address: | 815 NW 57 AVE, SUITE 114, MIAMI, FL 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215982244 | 2006-05-25 | 2020-08-22 | 815 NW 57TH AVE, SUITE 114, MIAMI, FL, 331262018, US | 815 NW 57TH AVE, SUITE 114, MIAMI, FL, 331262018, US | |||||||||||||||||||||||||
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| Phone | +1 305-262-5457 |
| Fax | 3052625113 |
Authorized person
| Name | MR. RAFAEL OTANO OTANO |
| Role | VICE PRESIDENT |
| Phone | 3032625457 |
Taxonomy
| Taxonomy Code | 261QC1800X - Corporate Health Clinic/Center |
| License Number | HCC6377 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | THEODORE T LAMOTTA |
| Number | ME 93274 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ, ADOLFO | Agent | 815 NW 57 AVE, SUITE 114, MIAMI, FL 33126 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ, ADOLFO | President | 815 NW 57 AVE SUITE 114, MIAMI, FL 33126 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ, ADOLFO | Director | 815 NW 57 AVE SUITE 114, MIAMI, FL 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-02-16 | 815 NW 57 AVE, SUITE 114, MIAMI, FL 33126 | No data |
| CHANGE OF MAILING ADDRESS | 2006-02-16 | 815 NW 57 AVE, SUITE 114, MIAMI, FL 33126 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-02-16 | 815 NW 57 AVE, SUITE 114, MIAMI, FL 33126 | No data |
| AMENDMENT | 2005-03-30 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2007-02-01 |
| ANNUAL REPORT | 2006-02-16 |
| Amendment | 2005-03-30 |
| ANNUAL REPORT | 2005-02-18 |
| Domestic Profit | 2004-12-20 |
Date of last update: 04 Jan 2025
Sources: Florida Department of State
