| Entity Name: | BENTLY MEDICAL CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Sep 2005 (19 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | P05000129057 |
| FEI/EIN Number | 161733738 |
| Address: | 42 NW 27 AVE STE 424, MIAMI, FL, 33125 |
| Mail Address: | 42 NW 27 AVE STE 424, MIAMI, FL, 33125 |
| ZIP code: | 33125 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023199031 | 2006-10-17 | 2020-08-22 | 42 NW 27TH AVE, SUITE 42, MIAMI, FL, 331255127, US | 424 NW 27TH AVE, SUITE 424, MIAMI, FL, 331255127, US | |||||||||||||||||||
|
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| Phone | +1 305-631-1080 |
| Fax | 3056311180 |
Authorized person
| Name | DANIA DIAZ |
| Role | PRESIDENT |
| Phone | 3056311080 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | 588895-4 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIAZ DANIA | Agent | 42 NW 27 AVE STE 424, MIAMI, FL, 33125 |
| Name | Role | Address |
|---|---|---|
| DIAZ DANIA | President | 42 NW 27 AVE STE 424, MIAMI, FL, 33125 |
| Name | Role | Address |
|---|---|---|
| DIAZ DANIA | Director | 42 NW 27 AVE STE 424, MIAMI, FL, 33125 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2006-03-23 |
| Domestic Profit | 2005-09-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
