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GENESIS INSTITUTE OF HEALTH, INC.

Company Details

Entity Name: GENESIS INSTITUTE OF HEALTH, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 30 Mar 2006 (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: P06000046267
Address: 2455 SW 27TH AVE., SUITE 100, MIAMI, FL 33145
Mail Address: 2455 SW 27TH AVE., SUITE 100, MIAMI, FL 33145
ZIP code: 33145
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023068061 2006-05-11 2020-08-22 2455 SW 27TH AVE, STE 100, MIAMI, FL, 331453663, US 2455 SW 27TH AVE, STE 100, MIAMI, FL, 331453663, US

Contacts

Phone +1 305-860-0508
Fax 3058600508

Authorized person

Name GRETTER PINO
Role OWNER
Phone 3058600508

Taxonomy

Taxonomy Code 208D00000X - General Practice Physician
Is Primary Yes

Agent

Name Role Address
SUAREZ, XAVIER LESQ Agent 300 SEVILLA AVE STE 210, CORAL GABLES, FL 33134

President

Name Role Address
MIKROVAS, KELLY IRENE President 2455 SW 27TH AVE., SUITE 100, MIAMI, FL 33145

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 No data No data
AMENDMENT 2007-02-13 No data No data
REGISTERED AGENT NAME CHANGED 2007-02-13 SUAREZ, XAVIER LESQ No data
REGISTERED AGENT ADDRESS CHANGED 2007-02-13 300 SEVILLA AVE STE 210, CORAL GABLES, FL 33134 No data

Documents

Name Date
Amendment 2007-02-13
Domestic Profit 2006-03-30

Date of last update: 03 Jan 2025

Sources: Florida Department of State