| Entity Name: | GENESIS PHYSICIANS MANAGEMENT CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 May 2013 (12 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: | P13000039674 |
| FEI/EIN Number | 46-2693636 |
| Address: | 755 E 8TH AVE, HIALEAH, FL 33010 |
| Mail Address: | 755 E 8TH AVE, HIALEAH, FL 33010 |
| ZIP code: | 33010 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508204041 | 2013-06-06 | 2013-06-06 | 755 E 8TH AVE, HIALEAH, FL, 330104613, US | 755 E 8TH AVE, HIALEAH, FL, 330104613, US | |||||||||||||||||||||||||||
|
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| Phone | +1 305-884-3334 |
| Fax | 3058853334 |
Authorized person
| Name | DR. EDUARDO J GARRIDO |
| Role | PRESIDENT |
| Phone | 3058843334 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | CH7995 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | ME90910 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GANCEDO, JOSE | Agent | 2883 WEST 2ND AVE, HIALEAH, FL 33010 |
| Name | Role | Address |
|---|---|---|
| GARRIDO, EDUARDO | President | 755 E 8TH AVE, HIALEAH, FL 33010 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000042934 | GENESIS MEDICAL CENTER | EXPIRED | 2013-05-03 | 2018-12-31 | No data | 755 E 8TH AVE, HIALEAH, FL, 33010 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-04-29 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
