| Entity Name: | SAM MEDICAL CENTER CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Apr 2009 (16 years ago) |
| Date of dissolution: | 12 Jul 2011 (14 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 Jul 2011 (14 years ago) |
| Document Number: | P09000033324 |
| FEI/EIN Number | 264666934 |
| Address: | 330 SW 27 AVE, 301, MIAMI, FL, 33135 |
| Mail Address: | 330 SW 27 AVE, 301, MIAMI, FL, 33135 |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336378322 | 2009-07-10 | 2009-07-10 | 330 SW 27TH AVE STE 301, MIAMI, FL, 331352957, US | 330 SW 27TH AVE STE 301, MIAMI, FL, 331352957, US | |||||||||||||||||||
|
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| Phone | +1 786-431-5905 |
| Fax | 7864315908 |
Authorized person
| Name | MR. PABLO SICILIA |
| Role | PRESIDENT |
| Phone | 7864315905 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | MA 51624 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SICILIA LOPEZ PABLO | Agent | 330 SW 27 AVE, MIAMI, FL, 33135 |
| Name | Role | Address |
|---|---|---|
| SICILIA LOPEZ PABLO | President | 330 SW 27 AVE STE 301, MIAMI, FL, 33135 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2011-07-12 | No data | No data |
| REINSTATEMENT | 2010-10-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001445577 | TERMINATED | 1000000500294 | MIAMI-DADE | 2013-09-27 | 2033-10-03 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2011-07-12 |
| REINSTATEMENT | 2010-10-20 |
| Domestic Profit | 2009-04-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
