| Entity Name: | HEALTH FLORIDA SERVICE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 28 Mar 2014 (11 years ago) |
| Date of dissolution: | 05 Jan 2015 (10 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 05 Jan 2015 (10 years ago) |
| Document Number: | P14000028412 |
| Address: | 2140 WEST FLAGLER ST., SUITE.208-A, MIAMI, FL 33135 |
| Mail Address: | 2140 WEST FLAGLER ST., SUITE.208-A, MIAMI, FL 33135 |
| ZIP code: | 33135 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033537618 | 2014-04-01 | 2014-04-04 | 2140 W FLAGLER ST STE 208A, MIAMI, FL, 331351642, US | 2140 W FLAGLER ST STE 208A, MIAMI, FL, 331351642, US | |||||||||||||||||||||||||
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| Phone | +1 786-261-6935 |
| Fax | 3055411736 |
Authorized person
| Name | DR. MANUEL A FERNANDEZ |
| Role | MEDICAL DOCTOR |
| Phone | 7862616935 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | ME 17907 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE |
| Number | ME 17907 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, BARBARA | Agent | 2140 WEST FLAGLER ST, SUITE.208-A, MIAMI, FL 33135 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, BARBARA | President | 2140 WEST FLAGLER ST SUITE.208-A, MIAMI, FL 33135 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-01-05 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2015-01-05 |
| Domestic Profit | 2014-03-28 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
