| Entity Name: | DAVILA MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Apr 2010 (15 years ago) |
| Date of dissolution: | 26 Oct 2023 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 Oct 2023 (a year ago) |
| Document Number: | P10000034774 |
| FEI/EIN Number | 272418552 |
| Address: | 13270 SW 8 ST, MIAMI, FL, 33184, US |
| Mail Address: | 13270 SW 8 ST, MIAMI, FL, 33184, US |
| ZIP code: | 33184 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902113939 | 2010-09-13 | 2023-06-15 | 4315 NW 7TH ST STE 47, MIAMI, FL, 331263561, US | 4315 NW 7TH ST STE 47, MIAMI, FL, 331263561, US | |||||||||||||||||||||||||||
|
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| Phone | +1 305-441-2760 |
| Fax | 3054412762 |
Authorized person
| Name | JOSE A DAVILA |
| Role | PRESIDENT |
| Phone | 7863706869 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | HCC8852 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DAVILA JOSE A | Agent | 13270 SW 8 ST, MIAMI, FL, 33184 |
| Name | Role | Address |
|---|---|---|
| DAVILA NUNEZ JOSE A | President | 13270 SW 8 ST, MIAMI, FL, 33184 |
| Name | Role | Address |
|---|---|---|
| DAVILA NUNEZ JOSE A | Director | 13270 SW 8 ST, MIAMI, FL, 33184 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000037122 | DAVILA DENTAL | ACTIVE | 2023-03-21 | 2028-12-31 | No data | 4315 NW 7 ST STE 47, MIAMI, FL, 33126 |
| G21000028398 | DAVILA COMMUNITY WELLNESS CENTER | ACTIVE | 2021-03-01 | 2026-12-31 | No data | 4315 NW 7 STREET, SUITE 30AB, MIAMI, FL, 33126 |
| G20000062264 | DAVILA MEDICAL CENTER & COMMUNITY MENTAL HEALTH 2 | ACTIVE | 2020-06-03 | 2025-12-31 | No data | 401 SW 42ND AVE STE 300, CORAL GABLES, FL, 33134 |
| G20000062265 | DAVILA MEDICAL CENTER & COMMUNITY MENTAL HEALTH 3 | ACTIVE | 2020-06-03 | 2025-12-31 | No data | 20 W 49TH ST, HIALEAH, FL, 33012 |
| G20000062266 | DAVILA MEDICAL CENTER & COMMUNITY MENTAL HEALTH 4 | ACTIVE | 2020-06-03 | 2025-12-31 | No data | 2099 W 76TH ST, HIALEAH, FL, 33016 |
| G20000062272 | DAVILA MEDICAL CENTER & COMMUNITY MENTAL HEALTH 5 | ACTIVE | 2020-06-03 | 2025-12-31 | No data | 10550 NW 77TH CT STE 401&402, HIALEAH GARDENS, FL, 33016 |
| G20000062262 | DAVILA MEDICAL CENTER & COMMUNITY MENTAL HEALTH 1 | ACTIVE | 2020-06-03 | 2025-12-31 | No data | 2255 SW 32ND AVE, MIAMI, FL, 33142 |
| G20000062277 | DAVILA MEDICAL CENTER & COMMUNITY MENTAL HEALTH 7 | ACTIVE | 2020-06-03 | 2025-12-31 | No data | 13270 SW 8TH ST, MIAMI, FL, 33184 |
| G20000062278 | DAVILA MEDICAL CENTER & COMMUNITY MENTAL HEALTH 8 | ACTIVE | 2020-06-03 | 2025-12-31 | No data | 4445 W 16TH AVE, HIALEAH, FL, 33015 |
| G20000062279 | DAVILA MEDICAL CENTER & COMMUNITY MENTAL HEALTH 9 | ACTIVE | 2020-06-03 | 2025-12-31 | No data | 4550 NW 7TH ST, MIAMI, FL, 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-10-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-13 | 13270 SW 8 ST, MIAMI, FL 33184 | No data |
| CHANGE OF MAILING ADDRESS | 2023-06-13 | 13270 SW 8 ST, MIAMI, FL 33184 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-13 | 13270 SW 8 ST, MIAMI, FL 33184 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-05-21 | DAVILA, JOSE A | No data |
| AMENDMENT | 2010-05-21 | No data | No data |
| AMENDMENT | 2010-05-05 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-10-26 |
| AMENDED ANNUAL REPORT | 2023-06-13 |
| AMENDED ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2023-03-27 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-06-18 |
| AMENDED ANNUAL REPORT | 2019-12-11 |
| AMENDED ANNUAL REPORT | 2019-10-24 |
| AMENDED ANNUAL REPORT | 2019-08-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
