| Entity Name: | BUENAVENTURA MEDICAL CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Oct 2005 (19 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: | P05000140147 |
| FEI/EIN Number | 203639822 |
| Address: | 12305 SW 112TH STREET, MIAMI, FL, 33186-4822, US |
| Mail Address: | 13814 SW 149TH CIRCLE LANE, APARTMENT # 4, MIAMI, FL, 33186-8251, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306893011 | 2006-05-28 | 2020-08-22 | 12305 SW 112TH ST, MIAMI, FL, 331864822, US | 12305 SW 112TH ST, MIAMI, FL, 331864822, US | |||||||||||||||||||||||
|
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| Phone | +1 305-274-7335 |
| Fax | 3052747336 |
Authorized person
| Name | MICHAEL MARTI |
| Role | PRESIDENT |
| Phone | 3052747335 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | HCC6910 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CASTILLO ALEXANDER | Agent | 12305 SW 112TH STREET, MIAMI, FL, 331864822 |
| Name | Role | Address |
|---|---|---|
| CASTILLO ALEXANDER | President | 12305 SW 112TH STREET, MIAMI, FL, 331864822 |
| Name | Role | Address |
|---|---|---|
| CASTILLO ALEXANDER | Secretary | 12305 SW 112TH STREET, MIAMI, FL, 331864822 |
| Name | Role | Address |
|---|---|---|
| CASTILLO ALEXANDER | Director | 12305 SW 112TH STREET, MIAMI, FL, 331864822 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| AMENDMENT | 2007-05-15 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2007-05-15 | CASTILLO, ALEXANDER | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-05-15 | 12305 SW 112TH STREET, MIAMI, FL 33186-4822 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-01-04 | 12305 SW 112TH STREET, MIAMI, FL 33186-4822 | No data |
| CHANGE OF MAILING ADDRESS | 2007-01-04 | 12305 SW 112TH STREET, MIAMI, FL 33186-4822 | No data |
| Name | Date |
|---|---|
| Amendment | 2007-05-15 |
| ANNUAL REPORT | 2007-01-04 |
| ANNUAL REPORT | 2006-06-30 |
| Domestic Profit | 2005-10-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
