| Entity Name: | JAZMIN SURGICAL & SKIN CARE CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 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: | P06000086183 |
| FEI/EIN Number | 205114820 |
| Address: | 2140 W FLAGLER ST STE #107, MIAMI, FL, 33135 |
| Mail Address: | 9570 NW 32 PL, MIAMI, FL, 33147 |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154473403 | 2007-01-17 | 2020-08-22 | 2140 W FLAGLER ST, SUITE 107, MIAMI, FL, 331355600, US | 2140 W FLAGLER ST, SUITE 107, MIAMI, FL, 331355600, US | |||||||||||||||||||||||||
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| Phone | +1 305-642-0005 |
| Fax | 3056428380 |
Authorized person
| Name | MYRIAM LAVIELLE |
| Role | OWNER |
| Phone | 3056420005 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | HCC6015 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA CERTIFICATE |
| Number | HCC6015 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LAVIELLE MYRIAM | Agent | 9570 NW 32 PL, MIAMI, FL, 33147 |
| Name | Role | Address |
|---|---|---|
| LAVIELLE MYRIAM | Director | 9570 NW 32ND PL, MIAMI, FL, 33147 |
| Name | Role | Address |
|---|---|---|
| LAVIELLE MYRIAM | President | 9570 NW 32ND PL, MIAMI, FL, 33147 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-29 | 2140 W FLAGLER ST STE #107, MIAMI, FL 33135 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-04-29 | 9570 NW 32 PL, MIAMI, FL 33147 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-04-29 |
| Off/Dir Resignation | 2008-04-14 |
| ANNUAL REPORT | 2007-04-16 |
| Domestic Profit | 2006-06-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
