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ELYSIS DOCTORS OFFICE, INC

Company Details

Entity Name: ELYSIS DOCTORS OFFICE, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 21 Oct 2013 (11 years ago)
Date of dissolution: 25 Sep 2015 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2015 (9 years ago)
Document Number: P13000086069
FEI/EIN Number APPLIED FOR
Address: 8260 WEST FLAGLER STREET, SUITE 2E, MIAMI, FL, 33144
Mail Address: 8260 WEST FLAGLER STREET, SUITE 2E, MIAMI, FL, 33144
ZIP code: 33144
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043633498 2014-01-21 2014-01-21 8260 WEST FLAGLER ST STE#2E, MIAMI, FL, 33144, US 8260 WEST FLAGLER ST STE#2E, MIAMI, FL, 33144, US

Contacts

Phone +1 305-418-0625

Authorized person

Name MALVY DIAZ
Role OWNER
Phone 3054180625

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
License Number HCC11005
State FL
Is Primary Yes

Agent

Name Role Address
DIAZ MALVY Agent 8260 WEST FLAGLER STREET, MIAMI, FL, 33144

President

Name Role Address
DIAZ MALVY President 8260 WESTFLAGLE STREET SUITE 2E, MIAMI, FL, 33144

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
REGISTERED AGENT ADDRESS CHANGED 2014-04-14 8260 WEST FLAGLER STREET, SUITE 2E, MIAMI, FL 33144 No data

Documents

Name Date
ANNUAL REPORT 2014-04-14
Domestic Profit 2013-10-21

Date of last update: 03 Feb 2025

Sources: Florida Department of State