| Entity Name: | LA VIDA MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 29 Sep 2011 (13 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P11000085634 |
| Address: | 4519 LAKE WORTH RD, GREENACRES, FL, 33463, US |
| Mail Address: | 8927 HYPOLUXO RD, STE A4, PMB 217, LAKE WORTH, FL, 33467, US |
| ZIP code: | 33463 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619369998 | 2015-02-24 | 2015-02-24 | 4519 LAKE WORTH RD, GREENACRES, FL, 334633449, US | 4519 LAKE WORTH RD, GREENACRES, FL, 334633449, US | |||||||||||||||
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| Phone | +1 561-432-8300 |
| Fax | 5614333026 |
Authorized person
| Name | FRANTZ PHYTON |
| Role | MGRM |
| Phone | 5614328300 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DESSALINES DUCLOS | Agent | 8927 HYPOLUXO RD, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| DESSALINES DUCLOS | President | 8927 HYPOLUXO RD, STE A4, PMB 217, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| DESSALINES EDVARD | Vice President | 8927 HYPOLUXO RD, STE A4, PMB 217, LAKE WORTH, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2011-09-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
