| Entity Name: | IDEAL MEDICAL CENTER OF MIAMI, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 May 2006 (19 years ago) |
| Date of dissolution: | 19 Apr 2013 (12 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 19 Apr 2013 (12 years ago) |
| Document Number: | P06000061805 |
| FEI/EIN Number | 20-4792135 |
| Address: | 1490 NW 27TH AVENUE, 130, MIAMI, FL 33125 |
| Mail Address: | 995 NORTH MIAMI BAECH BLVD., 100, NORTH MIAMI BEACH, FL 33162 |
| ZIP code: | 33125 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336473917 | 2009-09-29 | 2009-09-29 | 1490 N.W. 27 AVENUE, SUITE # 130, MIAMI, FL, 33125, US | 1490 NW 27TH AVE, SUITE # 130, MIAMI, FL, 331252157, US | |||||||||||||||||||
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| Phone | +1 305-635-7710 |
| Fax | 3056378122 |
Authorized person
| Name | DR. RODOLFO MOLINA |
| Role | MEDICAL DIRECTOR |
| Phone | 3056357710 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | HCC7682 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, WILFREDO | Agent | 995 N MIAMI BEACH BLVD. #100, N MIAMI BEACH, FL 33162 |
| Name | Role | Address |
|---|---|---|
| BRAVO, OCTAVIO | President | 11782 SW 92ND TERR., MIAMI, FL 33186 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, WILFREDO | Vice President | 2200 COUNTRY CLUB PRADO, CORAL GABLES, FL 33162 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2013-04-19 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-03-10 | 1490 NW 27TH AVENUE, 130, MIAMI, FL 33125 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-01-30 | 995 N MIAMI BEACH BLVD. #100, N MIAMI BEACH, FL 33162 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2013-04-19 |
| ANNUAL REPORT | 2012-02-27 |
| ANNUAL REPORT | 2011-02-02 |
| ANNUAL REPORT | 2010-02-17 |
| ANNUAL REPORT | 2009-03-10 |
| ANNUAL REPORT | 2008-03-07 |
| ANNUAL REPORT | 2007-01-30 |
| Domestic Profit | 2006-05-01 |
Date of last update: 28 Jan 2025
Sources: Florida Department of State
