| Entity Name: | MA-R MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Sep 2005 (19 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P05000121663 |
| FEI/EIN Number | 37-1515109 |
| Address: | 2500 Douglas Rd, Coral Gables, FL, 33134, US |
| Mail Address: | 7333 CORAL WAY, SUITE 108, MIAMI, FL, 33155 |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760553994 | 2006-11-10 | 2007-09-20 | 8574 SW 8TH ST, MIAMI, FL, 331444053, US | 8574 SW 8TH ST, MIAMI, FL, 331444053, US | |||||||||||||||||||||||
|
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| Phone | +1 305-265-1665 |
| Fax | 3052651226 |
Authorized person
| Name | FIDALGIS FONT |
| Role | PRESIDENT |
| Phone | 3052651665 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | HCC6986 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE NUMBER |
| Number | HCC6986 |
| Name | Role | Address |
|---|---|---|
| FONT FIDALGIS | Agent | 15168 SW 63 TERR, MIAMI, FL, 33193 |
| Name | Role | Address |
|---|---|---|
| FONT FIDALGIS | President | 15168 SW 63 TERR, MIAMI, FL, 33193 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-02-07 | 2500 Douglas Rd, B, Coral Gables, FL 33134 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-27 | 2500 Douglas Rd, B, Coral Gables, FL 33134 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000714959 | LAPSED | 12-07222 SP23 (1) | MIAMI-DADE COUNTY | 2012-10-03 | 2017-10-19 | $4,045.95 | MENTOR CORPORATION, 201 MENTOR DRIVE, SANTA BARBARA, CA 93111 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-03-19 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-02-07 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-04-27 |
| ANNUAL REPORT | 2010-04-19 |
| ANNUAL REPORT | 2009-04-30 |
| ANNUAL REPORT | 2008-04-09 |
| ANNUAL REPORT | 2007-04-20 |
| Off/Dir Resignation | 2006-10-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
