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PARADISE WELLNESS MEDICAL CENTER CORP

Company Details

Entity Name: PARADISE WELLNESS MEDICAL CENTER CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 04 Sep 2014 (10 years ago)
Date of dissolution: 30 Nov 2014 (10 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 30 Nov 2014 (10 years ago)
Document Number: P14000073572
Address: 4355 W. 16TH AVE, STE: 201, HIALEAH, FL, 33012
Mail Address: 4355 W. 16TH AVE, STE: 201, HIALEAH, FL, 33012
ZIP code: 33012
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679974182 2014-09-16 2014-09-16 4355 W 16TH AVE STE 201, HIALEAH, FL, 330127667, US 4355 W 16TH AVE STE 201, HIALEAH, FL, 330127667, US

Contacts

Phone +1 786-631-3763
Fax 7866313836

Authorized person

Name LUIS A QUERAL
Role MEDICAL DOCTOR
Phone 7866313763

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
License Number ME118298
State FL
Is Primary Yes

Agent

Name Role Address
DIAZ RITA MARIA Agent 4355 W. 16TH AVE, HIALEAH, FL, 33012

President

Name Role Address
DIAZ RITA MARIA President 4355 W. 16TH AVE. STE: 201, HIALEAH, FL, 33012

Secretary

Name Role Address
DIAZ RITA MARIA Secretary 4355 W. 16TH AVE. STE: 201, HIALEAH, FL, 33012

Director

Name Role Address
DIAZ RITA MARIA Director 4355 W. 16TH AVE. STE: 201, HIALEAH, FL, 33012

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2014-11-30 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2014-11-30
Domestic Profit 2014-09-04

Date of last update: 01 Feb 2025

Sources: Florida Department of State