| Entity Name: | CORAL THERAPY AND MEDICAL CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Apr 2010 (15 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P10000032066 |
| FEI/EIN Number | 272333164 |
| Address: | 1509 N MILITARY TRAIL, SUITE 210-212, WEST PALM BEACH, FL, 33409 |
| Mail Address: | 1509 N MILITARY TRAIL, SUITE 210-212, WEST PALM BEACH, FL, 33409 |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376861807 | 2010-05-07 | 2010-05-07 | 1509 N MILITARY TRL STE 212, WEST PALM BEACH, FL, 334094765, US | 1509 N MILITARY TRL STE 212, WEST PALM BEACH, FL, 334094765, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 561-697-2904 |
| Fax | 5616972906 |
Authorized person
| Name | LAZARO D RODRIGUEZ |
| Role | PRESIDENT |
| Phone | 5616972904 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | CH4496 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ LAZ | Agent | 1509 N MILITARY TRAIL, WEST PALM BEACH, FL, 33409 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ LAZ | President | 1509 N MILITARY TRAIL SUITE 210-212, WEST PALM BEACH, FL, 33409 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-02-21 |
| ANNUAL REPORT | 2011-08-16 |
| Domestic Profit | 2010-04-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
