| Entity Name: | FAITH HEALTH PROVIDERS, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Nov 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: | P11000100875 |
| Address: | 12905 SW 42ND ST, STE 101, MIAMI, FL, 33175, US |
| Mail Address: | 12905 SW 42ND ST, STE 101, MIAMI, FL, 33175, US |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639446503 | 2011-11-21 | 2011-11-21 | 12905 SW 42ND ST, SUITE 101, MIAMI, FL, 331752905, US | 12905 SW 42ND ST, SUITE 101, MIAMI, FL, 331752905, US | |||||||||||||||||||
|
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| Phone | +1 305-220-4787 |
| Fax | 3052204786 |
Authorized person
| Name | RENE ROBERTO ANDINO |
| Role | PREIDENT |
| Phone | 3052204787 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | ME66384 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANDINO RENE R | Agent | 12905 SW 42ND ST, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| ANDINO RENE R | President | 12905 SW 42ND ST STE 101, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| CABAN MAYTTE P | Vice President | 12905 SW 42ND ST STE 101, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| PARLA DANAYSI | Secretary | 12905 SW 42ND ST STE 101, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2011-11-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
