| Entity Name: | HIALEAH MEDICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 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: | P15000019047 |
| Address: | 4980 W 10TH AVE, 201, HIALEAH, FL, 33012, US |
| Mail Address: | 4980 W 10TH AVE, 201, HIALEAH, FL, 33012, UN |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972997682 | 2015-03-20 | 2015-04-20 | 4980 W 10TH AVE STE 201, HIALEAH, FL, 330123437, US | 4980 W 10TH AVE STE 201, HIALEAH, FL, 330123437, US | |||||||||||||||||||
|
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| Phone | +1 786-972-5114 |
| Fax | 3054566194 |
Authorized person
| Name | RAUDEL LA O |
| Role | PRESIDENT |
| Phone | 7863346170 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| LA O RAUDEL | Agent | 4980 W 10TH AVE, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| LA O RAUDEL | President | 4980 W 10TH AVE SUITE 201, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2015-02-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
