| Entity Name: | ADVANCE HEALTH MEDICAL CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 11 May 2006 (19 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P06000066951 |
| FEI/EIN Number | 20-4889619 |
| Address: | 280 EAST DRIVE, NORTH MIAMI BEACH, FL 33162 |
| Mail Address: | 280 EAST DRIVE, NORTH MIAMI BEACH, FL 33162 |
| ZIP code: | 33162 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245317023 | 2006-11-01 | 2020-08-22 | 2040 N. E 163 STREET SUITE 206, NORTH MIAMI, FL, 33163, US | 2040 N.E 163 STREET SUITE 206, NORTH MIAMI, FL, 33068, US | |||||||||||||||||||||||||
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| Phone | +1 305-405-6464 |
| Fax | 3054056449 |
| Fax | 3054056461 |
Authorized person
| Name | MR. HUBERT LAJEUNE |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 3054056461 |
Taxonomy
| Taxonomy Code | 207RI0001X - Clinical & Laboratory Immunology (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LAJEUNE, DENNY | Agent | 280 EAST DRIVE, NORTH MIAMI BEACH, FL 33162 |
| Name | Role | Address |
|---|---|---|
| LAJEUNE, DENNY | President | 120 NE 151 STREET, MIAMI, FL 33162 |
| Name | Role | Address |
|---|---|---|
| DELVA, CARMEL | Vice President | 18760 NW 27 AVE #102, OPA-LOCKA, FL 33056 |
| Name | Role | Address |
|---|---|---|
| DIMANCHE, MARIANE | TR. | 120 NE 151ST, STREET MIAMI, FL 33162 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-06-25 | 280 EAST DRIVE, NORTH MIAMI BEACH, FL 33162 | No data |
| CHANGE OF MAILING ADDRESS | 2009-06-25 | 280 EAST DRIVE, NORTH MIAMI BEACH, FL 33162 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-06-25 | LAJEUNE, DENNY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-06-25 | 280 EAST DRIVE, NORTH MIAMI BEACH, FL 33162 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-07-08 |
| ANNUAL REPORT | 2009-06-25 |
| ANNUAL REPORT | 2009-04-29 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-05-03 |
| Domestic Profit | 2006-05-11 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
