| Entity Name: | CARDIOVASCULAR MEDICINE GROUP, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Aug 2011 (13 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P11000075808 |
| FEI/EIN Number | 453078594 |
| Address: | 770 CLAUGHTON ISLAND DRIVE, MIAMI, FL, 33131, US |
| Mail Address: | 770 CLAUGHTON ISLAND DRIVE, MIAMI, FL, 33131, US |
| ZIP code: | 33131 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598045254 | 2011-08-25 | 2011-08-25 | 910 WEST AVE APT 714, MIAMI BEACH, FL, 331395240, US | 910 WEST AVE APT 714, MIAMI BEACH, FL, 331395240, US | |||||||||||||||||||||||
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| Phone | +1 786-879-9126 |
Authorized person
| Name | DR. CARLOS RAFAEL ZAMORA |
| Role | PRESIDENT |
| Phone | 7868799126 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| License Number | ME108416 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME108416 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ZAMORA CARLOS R | Agent | 770 CLAUGHTON ISLAND DRIVE, MIAMI, FL, 33131 |
| Name | Role | Address |
|---|---|---|
| ZAMORA CARLOS RDr. | President | 770 CLAUGHTON ISLAND DRIVE, MIAMI, FL, 33131 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-03 | 770 CLAUGHTON ISLAND DRIVE, APT 1212, MIAMI, FL 33131 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-03 | 770 CLAUGHTON ISLAND DRIVE, APT 1212, MIAMI, FL 33131 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-03 | 770 CLAUGHTON ISLAND DRIVE, APT 1212, MIAMI, FL 33131 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-03 |
| ANNUAL REPORT | 2012-01-15 |
| Domestic Profit | 2011-08-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
