| Entity Name: | GROUP MEDICAL CLINIC, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Apr 2013 (12 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P13000030772 |
| Address: | 540 NW 165 STREET RD SUITE #302, NORTH MIAMI, FL, 33169 |
| Mail Address: | 540 NW 165 STREET RD SUITE #302, NORTH MIAMI, FL, 33169 |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710321252 | 2013-04-27 | 2013-04-27 | 540 NW 165TH ST STE 302, MIAMI, FL, 331696304, US | 540 NW 165TH ST STE 302, MIAMI, FL, 331696304, US | |||||||||||||
|
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| Phone | +1 305-603-9636 |
Authorized person
| Name | DR. FAUSTO P ASTILLO |
| Role | PRESIDENT |
| Phone | 3056039636 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CASTILLO FAUSTO P | Agent | 540 NW 165 STREET RD SUITE #302, NORTH MIAMI, FL, 33169 |
| Name | Role | Address |
|---|---|---|
| CASTILLO FAUSTO P | President | 540 NW 165 STREET RD SUITE #302, NORTH MIAMI, FL, 33169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
