| Entity Name: | MARIN MEDICAL CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Sep 2006 (18 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: | P06000119377 |
| FEI/EIN Number | 205550834 |
| Address: | 1035 E 4 AVE, HIALEAH, FL, 33010, US |
| Mail Address: | 1035 E 4 AVE, HIALEAH, FL, 33010, US |
| ZIP code: | 33010 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922130699 | 2007-03-09 | 2008-06-16 | 1035 E 4TH AVE, HIALEAH, FL, 330104103, US | 1035 E 4TH AVE, HIALEAH, FL, 330104103, US | |||||||||||||||||||||
|
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| Phone | +1 305-403-5710 |
| Fax | 3054035711 |
Authorized person
| Name | JORLEN RODRIGUEZ |
| Role | PRES |
| Phone | 3054035710 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PROVIDER NUMBER |
| Number | AD659 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ JORLEN | Agent | 1035 E 4 AVE, HIALEAH, FL, 33010 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ JORLEN | President | 1035 E 4 AVE, HIALEAH, FL, 33010 |
| Name | Role | Address |
|---|---|---|
| OROPESA LINO I | Vice President | 1035 E 4 AVE, HIALEAH, FL, 33010 |
| Name | Role | Address |
|---|---|---|
| MARIN YENLYS | Secretary | 1035 E 4 AVE, HIALEAH, FL, 33010 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-04-29 |
| ANNUAL REPORT | 2008-02-28 |
| ANNUAL REPORT | 2007-03-02 |
| Domestic Profit | 2006-09-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
