| Entity Name: | TALAN MEDICAL SERVICES CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 02 Dec 2010 (14 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P10000097872 |
| FEI/EIN Number | 27-4150035 |
| Address: | 1069 SW 139 PL, MIAMI, FL, 33184, US |
| Mail Address: | PO BOX 441213, MIAMI, FL, 33144-1312, US |
| ZIP code: | 33184 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942585062 | 2011-10-20 | 2011-10-20 | 175 FONTAINEBLEAU BLVD, MIAMI, FL, 331727018, US | 175 FONTAINEBLEAU BLVD, MIAMI, FL, 331727018, US | |||||||||||||||||||
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| Phone | +1 305-221-9161 |
| Fax | 3052219751 |
Authorized person
| Name | JORGE F LOPEZ |
| Role | PRESIDENT |
| Phone | 3052219161 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| License Number | MM26296 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VICENTE DIAZ M | Agent | 1069 SW 139 PL, MIAMI, FL, 33184 |
| Name | Role | Address |
|---|---|---|
| VICENTE DIAZ M | President | 1069 SW 139 PL, MIAMI, FL, 33184 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-30 | 1069 SW 139 PL, MIAMI, FL 33184 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-30 | 1069 SW 139 PL, MIAMI, FL 33184 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-30 | VICENTE , DIAZ M | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-30 | 1069 SW 139 PL, MIAMI, FL 33184 | No data |
| AMENDMENT | 2011-10-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-25 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-04 |
| Amendment | 2011-10-24 |
| Domestic Profit | 2010-12-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
