| Entity Name: | DORAL CLINIC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Jan 2014 (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: | P14000001926 |
| Address: | 9300 NW 25 STREET, STE: 106, DORAL, FL, 33172 |
| Mail Address: | 9300 NW 25 STREET, STE: 106, DORAL, FL, 33172 |
| ZIP code: | 33172 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891118105 | 2014-01-23 | 2014-01-23 | 9300 NW 25TH ST, SUITE 106, DORAL, FL, 331721508, US | 9300 NW 25TH ST, SUITE 106, DORAL, FL, 331721508, US | |||||||||||||||||||||||||
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| Phone | +1 305-694-9802 |
| Fax | 3056398271 |
Authorized person
| Name | WILFREDO BRAVO |
| Role | PRESIDENT |
| Phone | 3056949802 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | ME110036 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAL LICENSE |
| Number | ME110036 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BRAVO WILFREDO E | Agent | 9300 NW 25 STREET, DORAL, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| BRAVO WILFREDO E | President | 9300 NW 25 STREET STE 106, DORAL, FL, 33172 |
| Name | Role | Address |
|---|---|---|
| BRAVO WILFREDO E | Director | 9300 NW 25 STREET STE 106, DORAL, FL, 33172 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2014-01-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
