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JAC MEDICAL CENTER INC.

Company Details

Entity Name: JAC MEDICAL CENTER INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 22 Dec 2010 (14 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 04 Nov 2022 (2 years ago)
Document Number: P10000102804
FEI/EIN Number 27-4361122
Address: 221 10TH STREET SE, NAPLES, FL 34117
Mail Address: 221 10TH STREET SE, NAPLES, FL 34117
ZIP code: 34117
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275950180 2014-03-28 2014-03-28 11093 NW 138TH ST, STE 123, HIALEAH GARDENS, FL, 330181153, US 11093 NW 138TH ST, STE 123, HIALEAH GARDENS, FL, 330181153, US

Contacts

Phone +1 305-380-8717

Authorized person

Name MR. CARLOS MARTINEZ
Role PRESIDENT
Phone 3053808717

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
License Number HCC9144
State FL
Is Primary Yes

Agent

Name Role Address
FERNANDEZ, NOEL Agent 221 10TH STREET SE, NAPLES, FL 34117

President

Name Role Address
FERNANDEZ, NOEL President 221 10TH STREET SE, NAPLES, FL 34117

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-11-04 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data
REGISTERED AGENT ADDRESS CHANGED 2019-05-28 221 10TH STREET SE, NAPLES, FL 34117 No data
REINSTATEMENT 2019-05-28 No data No data
CHANGE OF PRINCIPAL ADDRESS 2019-05-28 221 10TH STREET SE, NAPLES, FL 34117 No data
CHANGE OF MAILING ADDRESS 2019-05-28 221 10TH STREET SE, NAPLES, FL 34117 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
REGISTERED AGENT NAME CHANGED 2015-06-16 FERNANDEZ, NOEL No data
AMENDMENT 2014-05-14 No data No data
AMENDMENT 2014-05-08 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-04
ANNUAL REPORT 2023-02-03
REINSTATEMENT 2022-11-04
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-06-18
REINSTATEMENT 2019-05-28
ANNUAL REPORT 2015-06-16
Amendment 2014-05-14
Amendment 2014-05-08
Amendment 2014-04-15

Date of last update: 24 Jan 2025

Sources: Florida Department of State