| Entity Name: | VIDA MEDICAL SERVICES, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Dec 2012 (12 years ago) |
| Date of dissolution: | 05 Aug 2014 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 05 Aug 2014 (11 years ago) |
| Document Number: | P12000103775 |
| FEI/EIN Number | 46-2482147 |
| Address: | 4910 E 2 AVE, HIALEAH, FL 33013 |
| Mail Address: | 4910 E 2 AVE, HIALEAH, FL 33013 |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073937744 | 2014-02-14 | 2014-02-14 | 4910 E 2ND AVE, HIALEAH, FL, 330131410, US | 4910 E 2ND AVE, HIALEAH, FL, 330131410, US | |||||||||||||||||||||||||
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| Phone | +1 786-615-8113 |
| Fax | 7869537437 |
Authorized person
| Name | ANA TAPIA |
| Role | PRESIDENT |
| Phone | 7866158113 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC10022 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA HCC UNIT |
| Number | FILE 10628 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TAPIA, ANA R | Agent | 4935 EAST 1ST COURT, HIALEAH, FL 33012 |
| Name | Role | Address |
|---|---|---|
| TAPIA, ANA R | President | 4935 EAST 1ST COURT, HIALEAH, FL 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-08-05 | No data | No data |
| AMENDMENT | 2013-11-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-11-22 | 4910 E 2 AVE, HIALEAH, FL 33013 | No data |
| CHANGE OF MAILING ADDRESS | 2013-11-22 | 4910 E 2 AVE, HIALEAH, FL 33013 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-08-05 |
| ANNUAL REPORT | 2014-04-25 |
| Amendment | 2013-11-22 |
| ANNUAL REPORT | 2013-04-09 |
| Domestic Profit | 2012-12-26 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
