| Entity Name: | PINES URGENT CARE MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 May 2009 (16 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P09000043826 |
| FEI/EIN Number | 270206954 |
| Address: | 192 S FLAMINGO RD, PEMBROKE PINES, FL, 33027 |
| Mail Address: | 14921 ARCHER HALL ST, DAVIE, FL, 33331 |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467786608 | 2009-09-21 | 2009-09-21 | 192 S FLAMINGO RD, PEMBROKE PINES, FL, 330271768, US | 192 S FLAMINGO RD, PEMBROKE PINES, FL, 330271768, US | |||||||||||||||||||
|
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| Phone | +1 954-438-4112 |
| Fax | 9544384315 |
Authorized person
| Name | MR. CARLOS M VARON |
| Role | PRESIDENT |
| Phone | 9544384112 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| License Number | HCC8571 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOSCH JAIRO M | Agent | 7179 PEMBROKE RD, PEMBROKE PINES, FL, 33023 |
| Name | Role | Address |
|---|---|---|
| VARON CARLOS M | President | 14921 ARCHER HALL ST, DAVIE, FL, 33331 |
| Name | Role | Address |
|---|---|---|
| VARON CARLOS M | Treasurer | 14921 ARCHER HALL ST, DAVIE, FL, 33331 |
| Name | Role | Address |
|---|---|---|
| VARON CARLOS M | Director | 14921 ARCHER HALL ST, DAVIE, FL, 33331 |
| VARON FIORE E | Director | 14921 ARCHER HALL ST, DAVIE, FL, 33331 |
| Name | Role | Address |
|---|---|---|
| VARON FIORE E | Vice President | 14921 ARCHER HALL ST, DAVIE, FL, 33331 |
| Name | Role | Address |
|---|---|---|
| VARON FIORE E | Secretary | 14921 ARCHER HALL ST, DAVIE, FL, 33331 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-01-13 |
| Domestic Profit | 2009-05-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
