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BEALS MEDICAL CENTER CORP

Company Details

Entity Name: BEALS MEDICAL CENTER CORP
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 15 Jan 2016 (9 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: P16000005628
FEI/EIN Number 81-1181522
Address: 11648 Quail Roost Dr, MIAMI, FL 33157
Mail Address: 11648 Quail Roost Dr, MIAMI, FL 33157
ZIP code: 33157
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477902336 2016-06-10 2018-03-01 8324 SW 8TH ST, MIAMI, FL, 331444180, US 8324 SW 8TH ST, MIAMI, FL, 331444180, US

Contacts

Phone +1 786-615-9198

Authorized person

Name MR. SERGIO RAFAEL SHELTON
Role PRESIDENT
Phone 7866159198

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
License Number HCC10656
State FL
Is Primary Yes

Agent

Name Role Address
MOREIRA, MASIEL Agent 11648 Quail Roost Dr, MIAMI, FL 33157

President

Name Role Address
MOREIRA, MASIEL President 11648 Quail Roost Dr, MIAMI, FL 33157

Vice President

Name Role Address
TORRES, ROLANDO Vice President 11648 Quail Roost Dr, MIAMI, FL 33157

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-04-19 11648 Quail Roost Dr, MIAMI, FL 33157 No data
CHANGE OF MAILING ADDRESS 2018-04-19 11648 Quail Roost Dr, MIAMI, FL 33157 No data
REGISTERED AGENT NAME CHANGED 2018-04-19 MOREIRA, MASIEL No data
REGISTERED AGENT ADDRESS CHANGED 2018-04-19 11648 Quail Roost Dr, MIAMI, FL 33157 No data
AMENDMENT 2017-04-10 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2018-04-19
ANNUAL REPORT 2018-02-06
Amendment 2017-04-10
ANNUAL REPORT 2017-01-26
Domestic Profit 2016-01-15

Date of last update: 20 Jan 2025

Sources: Florida Department of State