| Entity Name: | FLAGLER MEDICAL & DIAGNOSTIC CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 06 Dec 2011 (13 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P11000103981 |
| FEI/EIN Number | 45-3988910 |
| Address: | 4697 WEST FLAGLER STREET, MIAMI, FL 33134 |
| Mail Address: | 4697 WEST FLAGLER STREET, MIAMI, FL 33134 |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881965507 | 2012-01-26 | 2012-01-26 | 4697 W FLAGLER ST, CORAL GABLES, FL, 331341512, US | 4697 W FLAGLER ST, CORAL GABLES, FL, 331341512, US | |||||||||||||||||||
|
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| Phone | +1 305-461-0799 |
| Fax | 3054610775 |
Authorized person
| Name | JOSE VALIENTE |
| Role | OWNER |
| Phone | 3054610799 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME 23012 |
| State | FM |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VALIENTE, JOSE G | Agent | 4697 WEST FLAGLER STREET, MIAMI, FL 33134 |
| Name | Role | Address |
|---|---|---|
| VALIENTE, JOSE G | President | 4697 WEST FLAGLER STREET, MIAMI, FL 33134 |
| Name | Role | Address |
|---|---|---|
| VALIENTE, JOSE G | Director | 4697 WEST FLAGLER STREET, MIAMI, FL 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-25 | 4697 WEST FLAGLER STREET, MIAMI, FL 33134 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-12-20 | 4697 WEST FLAGLER STREET, MIAMI, FL 33134 | No data |
| CHANGE OF MAILING ADDRESS | 2011-12-20 | 4697 WEST FLAGLER STREET, MIAMI, FL 33134 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-01-25 |
| Domestic Profit | 2011-12-06 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
