| Entity Name: | AXIS LE PROFESSIONAL MEDICAL GROUP CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Jan 2011 (14 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P11000004414 |
| FEI/EIN Number | 450903252 |
| Address: | 717 Ponce De Leon, Coral Gables, FL, 33134, US |
| Mail Address: | 717 Ponce De Leon, Coral Gables, FL, 33134, US |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245587302 | 2012-08-08 | 2012-08-08 | 2604 NW 21ST TER, MIAMI, FL, 331427113, US | 2604 NW 21ST TER, MIAMI, FL, 331427113, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 305-877-8184 |
Authorized person
| Name | ERENDIRA DELGADO |
| Role | PRESIDENT |
| Phone | 3058778184 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DELGADO ERENDIRA | Agent | 717 Ponce De Leon, Coral Gables, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| DELGADO ERENDIRA | President | 2604 NW 21 TE, MIAMI, FL, 33142 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000016412 | SOL MEDICAL CENTERS | EXPIRED | 2014-02-15 | 2019-12-31 | No data | 717 PONCE DE LEON BLVD SUITE 330, CORAL GABLES, FL, 33134 |
| G13000121430 | VIDA MEDICAL CENTER | EXPIRED | 2013-12-12 | 2018-12-31 | No data | 717 PONCE DE LEON BLVD #330, CORAL GABLES, FL, 33134 |
| G12000107469 | DOMINICAN HEALTH CARE NETWORK | EXPIRED | 2012-11-06 | 2017-12-31 | No data | 2604 NW 21 TERRACE, MIAMI, FL, 33142 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| AMENDMENT | 2014-04-10 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-06-10 | 717 Ponce De Leon, Suite 330, Coral Gables, FL 33134 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-06-10 | 717 Ponce De Leon, Suite 330, Coral Gables, FL 33134 | No data |
| CHANGE OF MAILING ADDRESS | 2013-06-10 | 717 Ponce De Leon, Suite 330, Coral Gables, FL 33134 | No data |
| REINSTATEMENT | 2012-10-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| AMENDMENT | 2011-02-25 | No data | No data |
| Name | Date |
|---|---|
| Off/Dir Resignation | 2015-01-14 |
| Amendment | 2014-04-10 |
| ANNUAL REPORT | 2014-02-11 |
| AMENDED ANNUAL REPORT | 2013-12-08 |
| ANNUAL REPORT | 2013-06-10 |
| REINSTATEMENT | 2012-10-09 |
| Off/Dir Resignation | 2011-03-22 |
| Amendment | 2011-02-25 |
| Domestic Profit | 2011-01-13 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
