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BANNER MEDICAL CENTER CORP

Company Details

Entity Name: BANNER MEDICAL CENTER CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 02 Feb 2015 (10 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: P15000010853
Address: 6447 MIAMI LAKES DRIVE, SUITE 222-E, MIAMI LAKES, FL, 33014
Mail Address: 6447 MIAMI LAKES DRIVE, SUITE 222-E, MIAMI LAKES, FL, 33014
ZIP code: 33014
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245622406 2015-02-25 2015-02-25 6447 MIAMI LAKES DR E STE 222E, MIAMI LAKES, FL, 330142764, US 6447 MIAMI LAKES DR E STE 222E, MIAMI LAKES, FL, 330142764, US

Contacts

Phone +1 305-219-9748
Fax 3052199748

Authorized person

Name MIRIALA GUTIERREZ
Role PRESIDENT
Phone 3052199748

Taxonomy

Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary Yes

Agent

Name Role Address
MONTPELLER ACOSTA RICARDO Agent 6447 MIAMI LAKES DRIVE, SUITE 222-E, MIAMI LAKES, FL, 33014

President

Name Role Address
MONTPELLER ACOSTA RICARDO President 6447 MIAMI LAKES DRIVE, SUITE 222-E, MIAMI LAKES, FL, 33014

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
AMENDMENT 2015-06-05 No data No data
REGISTERED AGENT NAME CHANGED 2015-06-05 MONTPELLER ACOSTA, RICARDO No data
AMENDMENT 2015-06-04 No data No data

Documents

Name Date
Amendment 2015-06-05
Domestic Profit 2015-02-02

Date of last update: 01 Feb 2025

Sources: Florida Department of State