| Entity Name: | ADVANCE MEDICAL DOCTOR INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 31 Mar 2015 (10 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P15000029859 |
| FEI/EIN Number | 47-3578911 |
| Address: | 7237 CORAL WAY, MIAMI, FL 33155 |
| Mail Address: | 7237 CORAL WAY, MIAMI, FL 33155 |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902291032 | 2015-04-06 | 2016-02-15 | 7237 CORAL WAY, MIAMI, FL, 331551401, US | 7237 CORAL WAY, MIAMI, FL, 331551401, US | |||||||||||||||||||||||
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| Phone | +1 786-536-2620 |
| Fax | 7865362768 |
Authorized person
| Name | DR. RAFAEL CRESPO I |
| Role | PRESIDENTE |
| Phone | 7863179921 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ACN613 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CRESPO FERNANDEZ, RAFAEL | Agent | 7237 CORAL WAY, MIAMI, FL 33155 |
| Name | Role | Address |
|---|---|---|
| CRESPO FERNANDEZ, RAFAEL | President | 7237 CORAL WAY, MIAMI, FL 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-01-08 | 7237 CORAL WAY, MIAMI, FL 33155 | No data |
| CHANGE OF MAILING ADDRESS | 2016-01-08 | 7237 CORAL WAY, MIAMI, FL 33155 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-08 | 7237 CORAL WAY, MIAMI, FL 33155 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-01-08 |
| Domestic Profit | 2015-03-31 |
Date of last update: 20 Feb 2025
Sources: Florida Department of State
