| Entity Name: | RODRIGUEZ MEDICAL CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 24 Feb 2006 (19 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P06000028079 |
| FEI/EIN Number | 14-1953633 |
| Address: | 1268 PALM AVENUE, HIALEAH, FL 33010 |
| Mail Address: | 1268 PALM AVENUE, HIALEAH, FL 33010 |
| ZIP code: | 33010 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447275367 | 2006-07-13 | 2009-10-28 | 800 PALM AVE, SUITE A, HIALEAH, FL, 330104353, US | 800 PALM AVE, SUITE A, HIALEAH, FL, 330104353, US | |||||||||||||||||||||||||||||
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| Phone | +1 305-888-3404 |
| Fax | 3058883410 |
Authorized person
| Name | DR. LUIS GINORIS |
| Role | OWNER |
| Phone | 3058883404 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC7128 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 276722800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| IVONNE, RODRIGUEZ | Agent | 1268 PALM AVENUE, HIALEAH, FL 33010 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ, ARMANDO | President | 1268 PALM AVENUE, HIALEAH, FL 33010 |
| RODRIGUEZ, IVONNE | President | 1268 PALM AVENUE, HIALEAH, FL 33010 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-05-06 | 1268 PALM AVENUE, HIALEAH, FL 33010 | No data |
| CHANGE OF MAILING ADDRESS | 2010-05-06 | 1268 PALM AVENUE, HIALEAH, FL 33010 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-05-06 | IVONNE, RODRIGUEZ | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-05-06 | 1268 PALM AVENUE, HIALEAH, FL 33010 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-05-06 |
| ANNUAL REPORT | 2009-10-12 |
| ANNUAL REPORT | 2009-04-13 |
| ANNUAL REPORT | 2008-12-09 |
| ANNUAL REPORT | 2008-01-16 |
| ANNUAL REPORT | 2007-01-29 |
| Domestic Profit | 2006-02-24 |
Date of last update: 28 Jan 2025
Sources: Florida Department of State
