| Entity Name: | BENAZET PAIN MANAGEMENT & REHAB CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Oct 2009 (15 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P09000086108 |
| FEI/EIN Number | 271163125 |
| Mail Address: | 7235 CORAL WAY, SUITE 207, MIAMI, FL, 33155 |
| Address: | 7235 CORAL WAY, SUITE #207, MIAMI, FL, 33155 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194009092 | 2011-10-11 | 2011-10-11 | 7235 CORAL WAY, SUITE 207, MIAMI, FL, 331551466, US | 7235 CORAL WAY, SUITE 207, MIAMI, FL, 331551466, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-456-1829 |
| Fax | 3054569971 |
Authorized person
| Name | DR. TULIA R BENAZAT |
| Role | PRESIDENT |
| Phone | 3054561829 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME81181 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME81033 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | AHCA |
| Number | HCC7849 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BENAZET TULIA R | Agent | 7235 CORAL WAY STE 207, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| BENAZET TULIA RDr. | President | 7235 CORAL WAY STE 207, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| BENAZET HUGO EDr. | Vice President | 7235 CORAL WAY STE 207, MIAMI, FL, 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| AMENDMENT | 2012-06-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-08 | 7235 CORAL WAY, SUITE #207, MIAMI, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-08 | 7235 CORAL WAY, SUITE #207, MIAMI, FL 33155 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-08 | 7235 CORAL WAY STE 207, MIAMI, FL 33155 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-01-15 |
| ANNUAL REPORT | 2014-04-10 |
| ANNUAL REPORT | 2013-03-26 |
| Amendment | 2012-06-01 |
| ANNUAL REPORT | 2012-01-08 |
| ANNUAL REPORT | 2011-01-24 |
| ANNUAL REPORT | 2010-02-15 |
| Domestic Profit | 2009-10-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
