| Entity Name: | PROFESSIONAL HEALTHCARE MEDICAL MANAGEMENT, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 Oct 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: | P10000080437 |
| Address: | 1250 S. MIAMI AVENUE, SUITE 3103, MIAMI, FL 33130 |
| Mail Address: | 1250 S. MIAMI AVENUE, SUITE 3103, MIAMI, FL 33130 |
| ZIP code: | 33130 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437468477 | 2010-09-24 | 2010-09-24 | 1250 S MIAMI AVE, SUITE 3103, MIAMI, FL, 331304100, US | 1250 S MIAMI AVE, SUITE 3103, MIAMI, FL, 331304100, US | |||||||||||||
|
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| Phone | +1 786-299-9529 |
Authorized person
| Name | MR. ROSDUALDO GERMAN FERRER |
| Role | CEO |
| Phone | 7862999529 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FERRER, ROSDUALDO | Agent | 1250 S. MIAMI AVENUE, SUITE 3103, MIAMI, FL 33130 |
| Name | Role | Address |
|---|---|---|
| FERRER, ROSDUALDO | Chief Executive Officer | 1250 S. MIAMI AVENUE, SUITE 3103, MIAMI, FL 33130 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000047060 | SPORT FIT REHAB TRAINING | EXPIRED | 2011-05-17 | 2016-12-31 | No data | 1801 SW 63 COURT, MIAMI, FL, 3315 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2010-10-01 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
