| Entity Name: | ED MEDICAL THERAPY CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Jul 2011 (14 years ago) |
| Date of dissolution: | 11 Dec 2024 (2 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 11 Dec 2024 (2 months ago) |
| Document Number: | P11000064657 |
| FEI/EIN Number | 452779175 |
| Address: | 1314 W HUMPHREY ST, TAMPA, FL, 33604 |
| Mail Address: | 1314 W HUMPHREY ST, TAMPA, FL, 33604 |
| ZIP code: | 33604 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790060333 | 2011-10-14 | 2015-05-05 | 4311 W WATERS AVE, SUITE 205, TAMPA, FL, 33614, US | 4311 W WATERS AVE, SUIT #205, TAMPA, FL, 33614, US | |||||||||||||||||
|
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| Phone | +1 813-407-1591 |
Authorized person
| Name | MS. JANIS GOMEZ X |
| Role | PRESIDENT |
| Phone | 8134071591 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | HCC9274 |
| State | FM |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GOMEZ JANIS | Agent | 1314 W HUMPHREY ST, TAMPA, FL, 33604 |
| Name | Role | Address |
|---|---|---|
| GOMEZ JANIS | President | 1314 W HUMPHREY ST, TAMPA, FL, 33604 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000083674 | ED MEDICAL CENTER | EXPIRED | 2014-08-14 | 2019-12-31 | No data | 2716 SW 137 AVENUE, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-12-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-29 | GOMEZ, JANIS | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-29 | 1314 W HUMPHREY ST, TAMPA, FL 33604 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-29 | 1314 W HUMPHREY ST, TAMPA, FL 33604 | No data |
| AMENDMENT | 2015-04-29 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-29 | 1314 W HUMPHREY ST, TAMPA, FL 33604 | No data |
| AMENDMENT | 2015-01-26 | No data | No data |
| AMENDMENT | 2014-07-11 | No data | No data |
| AMENDMENT | 2014-07-08 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-12-11 |
| Amendment | 2015-04-29 |
| ANNUAL REPORT | 2015-04-24 |
| Amendment | 2015-01-26 |
| Amendment | 2014-07-11 |
| Amendment | 2014-07-08 |
| ANNUAL REPORT | 2014-04-30 |
| Amendment | 2013-12-19 |
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-03-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
