| Entity Name: | JH SHALOM MEDICAL CENTER, CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Nov 2006 (18 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: | P06000145801 |
| FEI/EIN Number | 562622536 |
| Address: | 19403 SW 114 PL, MIAMI, FL, 33157 |
| Mail Address: | 19403 SW 114 PL, MIAMI, FL, 33157 |
| ZIP code: | 33157 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164649091 | 2007-04-20 | 2020-08-22 | 10908 SW 184 ST, MIAMI, FL, 33157, US | 10908 SW 184 ST, MIAMI, FL, 33157, US | |||||||||||||||
|
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| Phone | +1 305-253-5126 |
| Fax | 3052535127 |
Authorized person
| Name | ANDRES ECHEMENDIA |
| Role | PRESIDENT |
| Phone | 3052535126 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ECHEMENDIA ANDRES | Agent | 19403 SW 114 PL, MIAMI, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| ECHEMENDIA ANDRES | President | 19403 SW 114 PL, MIAMI, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| ECHEMENDIA ANDRES | Director | 19403 SW 114 PL, MIAMI, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| MENENDEZ YULIET | Secretary | 19403 SW 114 PL, MIAMI, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| RANKIN CARLOS A | Vice President | 19403 SW 114 PL, MIAMI, FL, 33157 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| AMENDMENT | 2007-10-05 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-01-17 |
| Amendment | 2007-10-05 |
| ANNUAL REPORT | 2007-09-24 |
| Domestic Profit | 2006-11-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
