| Entity Name: | FLORIDA BLUE MEDICAL CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 21 Apr 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: | P14000035405 |
| Address: | 8060 NW 155TH ST, 100, MIAMI LAKES, FL 33016 |
| Mail Address: | 8060 NW 155TH ST, 100, MIAMI LAKES, FL 33016 |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922428523 | 2014-04-22 | 2014-04-22 | 8060 NW 155TH ST, SUITE 202, MIAMI LAKES, FL, 330165883, US | 8060 NW 155TH ST, SUITE 202, MIAMI LAKES, FL, 330165883, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 305-819-2439 |
| Fax | 3058192139 |
Authorized person
| Name | ELYAM MUNOZ |
| Role | ADMINISTRATOR |
| Phone | 3058192439 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MONTERO, SANDRA M | Agent | 8060 NW 155TH ST, 100, MIAMI LAKES, FL 33016 |
| Name | Role | Address |
|---|---|---|
| MUNOZ, ELYAM | Treasurer | 8060 NW 155TH ST, MIAMI LAKES, FL 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2014-04-21 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
