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MIDLAND MEDICAL - MIAMI SHORES, INC.

Company Details

Entity Name: MIDLAND MEDICAL - MIAMI SHORES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 19 May 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: P05000073394
FEI/EIN Number 203117449
Address: 8642 N.E 2ND AVENUE, EL PORTAL, FL, 33138, US
Mail Address: P.O BOX 530543, MIAMI SHORES, FL, 33153, US
ZIP code: 33138
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1639215551 2007-01-29 2007-10-31 8642 NE 2ND AVE, MIAMI SHORES, FL, 331383004, US 8642 NE 2ND AVE, MIAMI SHORES, FL, 331383004, US

Contacts

Phone +1 305-751-9677
Fax 3057519808

Authorized person

Name NOAH J LEE
Role DIRECTOR
Phone 3057519677

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number OS9305
State FL
Is Primary Yes

Agent

Name Role Address
SCHRIER PAUL K Agent 11098 BISCAYNE BLVD, MIAMI, FL, 33161

Treasurer

Name Role Address
BEHAR MAURICIO Treasurer 2817 EAST OAKLAND PARK BLVD, FORT LAUDERDALE, FL, 33306

Director

Name Role Address
BEHAR MAURICIO Director 2817 EAST OAKLAND PARK BLVD, FORT LAUDERDALE, FL, 33306
NEWMAN DAVID Director 2817 EAST OAKLAND PARK BLVD, FORT LAUDERDALE, FL, 33306
NELSON BOB Director 262 NE 98 STREET, MIAMI SHORES, FL, 33138

President

Name Role Address
NELSON BOB President 262 NE 98 STREET, MIAMI SHORES, FL, 33138

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data
CHANGE OF MAILING ADDRESS 2007-05-04 8642 N.E 2ND AVENUE, EL PORTAL, FL 33138 No data
NAME CHANGE AMENDMENT 2005-11-21 MIDLAND MEDICAL - MIAMI SHORES, INC. No data
NAME CHANGE AMENDMENT 2005-07-01 VISIONS HEALTHCARE - EL PORTAL, INC. No data

Documents

Name Date
Off/Dir Resignation 2012-01-20
Reg. Agent Resignation 2012-01-13
ANNUAL REPORT 2007-05-23
ANNUAL REPORT 2007-05-04
ANNUAL REPORT 2006-05-01
Name Change 2005-11-21
Name Change 2005-07-01
Domestic Profit 2005-05-19

Date of last update: 02 Feb 2025

Sources: Florida Department of State