Entity Name: | THE WOUND HEALING & DERMATOLOGY INSTITUTE INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 20 Apr 2005 (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: | P05000058290 |
FEI/EIN Number | 202709936 |
Address: | 1333 CORAL WAY SUITE 200, MIAMI, FL, 33145 |
Mail Address: | 1333 CORAL WAY SUITE 200, MIAMI, FL, 33145 |
ZIP code: | 33145 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104977958 | 2007-01-16 | 2020-08-22 | 9120 NW 162ND TER, MIAMI LAKES, FL, 330186302, US | 1333 CORAL WAY, SUITE 200, MIAMI, FL, 331452948, US | |||||||||||||||||||||
|
Phone | +1 305-362-1788 |
Phone | +1 305-398-3298 |
Authorized person
Name | MR. JORGE A. QUINTNA |
Role | DIRECTOR |
Phone | 3053983298 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | HEALTH CARE CLINIC LICENS |
Number | 6871 |
State | FL |
Name | Role | Address |
---|---|---|
QUINTANA JORGE | Agent | 1333 CORAL WAY SUITE 200, MIAMI, FL, 33145 |
Name | Role | Address |
---|---|---|
QUINTANA JORGE | President | 1333 CORAL WAY SUITE 200, MIAMI, FL, 33145 |
Name | Role | Address |
---|---|---|
QUINTANA JORGE | Director | 1333 CORAL WAY SUITE 200, MIAMI, FL, 33145 |
ESCALONA EULISES | Director | 1333 CORAL WAY SUITE 200, MIAMI, FL, 33145 |
Name | Role | Address |
---|---|---|
ESCALONA EULISES | Vice President | 1333 CORAL WAY SUITE 200, MIAMI, FL, 33145 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2007-02-22 | QUINTANA, JORGE | No data |
AMENDMENT | 2007-01-03 | No data | No data |
CANCEL ADM DISS/REV | 2006-10-24 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2007-02-22 |
Amendment | 2007-01-03 |
REINSTATEMENT | 2006-10-24 |
Domestic Profit | 2005-04-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State