| Entity Name: | ENERGIZE MEDICAL CENTER CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Sep 2009 (15 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P09000073617 |
| FEI/EIN Number | 270879565 |
| Address: | 175 FOUNTAINBLEAU BLVD., SUITE #2G1, MIAMI, FL, 33172 |
| Mail Address: | 175 FOUNTAINBLEAU BLVD., SUITE #2G1, MIAMI, FL, 33172 |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336475748 | 2009-10-20 | 2009-10-20 | 175 FONTAINEBLEAU BLVD, 2G-10, MIAMI, FL, 331727018, US | 175 FONTAINEBLEAU BLVD, 2G-10, MIAMI, FL, 331727018, US | |||||||||||||||||||||||||
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| Phone | +1 305-559-8781 |
| Fax | 3055598791 |
Authorized person
| Name | FRANK ALONSO |
| Role | PRESIDENT |
| Phone | 3055598781 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | MM 23771 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MASSAGE ESTABLISHMENT |
| Number | MM 23771 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FRANCO OCTAVIO | Agent | 175 FOUNTAINBLEAU BLVD., SUITE #2G1, MIAMI, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| FRANCO OCTAVIO | President | 175 FOUNTAINBLEAU BLVD., SUITE #2G1, MIAMI, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| FRANCO OCTAVIO | Director | 175 FOUNTAINBLEAU BLVD., SUITE #2G1, MIAMI, FL, 33172 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000061860 | AMERICAN THERAPY ASSOCIATION INC. | EXPIRED | 2012-06-21 | 2017-12-31 | No data | 175 FONTAINEBLEAU BLVD., SUITE 1-C, MIAMI, FL, 33172 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-03-08 | FRANCO, OCTAVIO | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-03-09 | 175 FOUNTAINBLEAU BLVD., SUITE #2G1, MIAMI, FL 33172 | No data |
| CHANGE OF MAILING ADDRESS | 2010-03-09 | 175 FOUNTAINBLEAU BLVD., SUITE #2G1, MIAMI, FL 33172 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-03-09 | 175 FOUNTAINBLEAU BLVD., SUITE #2G1, MIAMI, FL 33172 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-03-16 |
| Reg. Agent Change | 2011-03-08 |
| ANNUAL REPORT | 2011-03-01 |
| ANNUAL REPORT | 2010-03-09 |
| Domestic Profit | 2009-09-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
