| Entity Name: | GUTIERREZ FAMILY MEDICAL CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 Feb 2012 (13 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P12000010745 |
| FEI/EIN Number | 45-4434059 |
| Address: | 10621 N Kendall Dr., STE 113, MIAMI, FL 33176 |
| Mail Address: | 10621 N Kendall Dr., STE 113, MIAMI, FL 33176 |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700209863 | 2014-01-27 | 2014-01-27 | 7400 SW 88TH ST STE 104, MIAMI, FL, 331567708, US | 7400 SW 88TH ST STE 104, MIAMI, FL, 331567708, US | |||||||||||||||||
|
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| Phone | +1 305-670-6006 |
Authorized person
| Name | MARIA GUTIERREZ |
| Role | OWNER |
| Phone | 3056706006 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | 100361 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GUTIERREZ, MARIA D | Agent | 10621 N Kendall Dr., STE 113, MIAMI, FL 33176 |
| Name | Role | Address |
|---|---|---|
| GUTIERREZ, MARIA D | President | 10621 N Kendall Dr., STE 113 MIAMI, FL 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-13 | 10621 N Kendall Dr., STE 113, MIAMI, FL 33176 | No data |
| CHANGE OF MAILING ADDRESS | 2014-03-13 | 10621 N Kendall Dr., STE 113, MIAMI, FL 33176 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-13 | 10621 N Kendall Dr., STE 113, MIAMI, FL 33176 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-01-26 |
| ANNUAL REPORT | 2014-03-13 |
| ANNUAL REPORT | 2013-02-05 |
| Domestic Profit | 2012-02-01 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
