| Entity Name: | AVALON MEDICAL CENTER CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Dec 2009 (15 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: | P09000100257 |
| FEI/EIN Number | 271499244 |
| Address: | 15761 NW 79TH COURT, MIAMI LAKES, FL, 33016 |
| Mail Address: | 15761 NW 79TH COURT, MIAMI LAKES, FL, 33016 |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396067617 | 2010-03-01 | 2010-03-01 | 6065 NW 167TH ST, SUITE B-7, HIALEAH, FL, 330154327, US | 6065 NW 167TH ST, SUITE B-7, HIALEAH, FL, 330154327, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 305-821-3155 |
| Fax | 3058213166 |
Authorized person
| Name | GUSTAVO BOLANOS |
| Role | PRESIDENT |
| Phone | 3058213155 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC8681 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOLANOS GUSTAVO | Agent | 15761 NW 79TH COURT, MIAMI LAKES, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| BOLANOS GUSTAVO | Director | 15761 NW 79TH COURT, MIAMI LAKES, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| BOLANOS GUSTAVO | President | 15761 NW 79TH COURT, MIAMI LAKES, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| BOLANOS GUSTAVO | Secretary | 15761 NW 79TH COURT, MIAMI LAKES, FL, 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-01-04 |
| Domestic Profit | 2009-12-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
