| Entity Name: | MOISE MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Aug 2010 (14 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: | P10000066259 |
| Address: | 4852 FIETZWAY ROAD, DOVER, FL, 33527, US |
| Mail Address: | 4852 FIETZWAY ROAD, DOVER, FL, 33527, US |
| ZIP code: | 33527 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730473604 | 2011-06-08 | 2011-06-08 | 2901 W BUSCH BLVD, SUITE 103, TAMPA, FL, 336184523, US | 2901 W BUSCH BLVD, SUITE 103, TAMPA, FL, 336184523, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 800-368-1280 |
| Fax | 8009684570 |
Authorized person
| Name | DR. DAPHNEE MOISE |
| Role | MEDICAL DIRECTOR/ OWNER |
| Phone | 8139245210 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME93843 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOISE DAPHNEE | Agent | 4852 FIETZWAY ROAD, DOVER, FL, 33527 |
| Name | Role | Address |
|---|---|---|
| MOISE DAPHNEE | President | 4852 FIETZWAY ROAD, DOVER, FL, 33527 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2010-08-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
