| Entity Name: | SOUTH RESEARCH MEDICAL INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Oct 2008 (16 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: | P08000091629 |
| Address: | 17250 SW 137 AVENUE, SUITE B, MIAMI, FL, 33177 |
| Mail Address: | 17250 SW 137 AVENUE, SUITE B, MIAMI, FL, 33177 |
| ZIP code: | 33177 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821243023 | 2008-12-02 | 2008-12-02 | 17250 SW 137TH AVE, STE B, MIAMI, FL, 331776405, US | 17250 SW 137TH AVE, STE B, MIAMI, FL, 331776405, US | |||||||||||||||||||||||
|
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| Phone | +1 786-488-0244 |
Authorized person
| Name | YOCIS NUNEZ |
| Role | PRESIDENT |
| Phone | 7864880244 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME51845 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | N/A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SANCHEZ GERARDO V | Agent | 17250 SW 137 AVENUE, MIAMI, FL, 33177 |
| Name | Role | Address |
|---|---|---|
| SANCHEZ GERARDO V | President | 17250 SW 137 AVENUE #B, MIAMI, FL, 33177 |
| Name | Role | Address |
|---|---|---|
| SANCHEZ GERARDO V | Secretary | 17250 SW 137 AVENUE #B, MIAMI, FL, 33177 |
| Name | Role | Address |
|---|---|---|
| SANCHEZ GERARDO V | Director | 17250 SW 137 AVENUE #B, MIAMI, FL, 33177 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| AMENDMENT | 2008-12-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2008-12-01 | SANCHEZ, GERARDO V | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-12-01 | 17250 SW 137 AVENUE, SUITE B, MIAMI, FL 33177 | No data |
| Name | Date |
|---|---|
| Amendment | 2008-12-01 |
| Off/Dir Resignation | 2008-12-01 |
| Domestic Profit | 2008-10-08 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
