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ALBORADA MEDICAL CORP

Company Details

Entity Name: ALBORADA MEDICAL CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 05 Jun 2006 (19 years ago)
Date of dissolution: 25 Sep 2009 (15 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2009 (15 years ago)
Document Number: P06000077196
FEI/EIN Number 204992437
Address: 12781 SW 42 ST STE B, MIAMI, FL, 33175
Mail Address: 12781 SW 42 ST STE B, MIAMI, FL, 33175
ZIP code: 33175
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003839051 2006-07-25 2020-08-22 3376 WOODS EDGE CIRCLE, STE 102, BONITA SPRINGS, FL, 34134, US 3376 WOODS EDGE CIRCLE, STE 102, BONITA SPRINGS, FL, 34134, US

Contacts

Phone +1 239-948-4063

Authorized person

Name JORGE R DOMINGUEZ
Role PRESIDENT
Phone 2399484063

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number ME90913
State FL
Is Primary Yes

Agent

Name Role Address
DOMINGUEZ JORGE R Agent 827 SE 12 ST, HIALEAH, FL, 33010

President

Name Role Address
DOMINGUEZ JORGE R President 827 SE 12 ST, HIALEAH, FL, 33010

Vice President

Name Role Address
HERNANDEZ VIVIAN Vice President 825 SE 12 ST, HIAEAH, FL, 33010

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2008-04-07 12781 SW 42 ST STE B, MIAMI, FL 33175 No data
CHANGE OF MAILING ADDRESS 2008-04-07 12781 SW 42 ST STE B, MIAMI, FL 33175 No data
REGISTERED AGENT ADDRESS CHANGED 2008-04-07 827 SE 12 ST, HIALEAH, FL 33010 No data

Documents

Name Date
ANNUAL REPORT 2008-04-07
ANNUAL REPORT 2007-04-23
Domestic Profit 2006-06-05

Date of last update: 02 Feb 2025

Sources: Florida Department of State