| Entity Name: | POLICLINICO, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 15 Feb 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P16000014871 |
| FEI/EIN Number | 81-2771216 |
| Address: | 4060 SW 137TH COURT, MIAMI, FL 33175-6480 |
| Mail Address: | 11025 SW 84TH STREET, COTTAGE 12, KENDALL, FL 33173-3856 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386095636 | 2016-06-28 | 2016-06-28 | 11025 SW 84TH ST, COTTAGE 12, MIAMI, FL, 331733857, US | 11025 SW 84TH ST, COTTAGE 12, MIAMI, FL, 331733857, US | |||||||||||||||||||
|
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| Phone | +1 786-534-8080 |
| Fax | 7862767008 |
Authorized person
| Name | MR. JORGE BRACERAS |
| Role | PRESIDENT |
| Phone | 7863657979 |
Taxonomy
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GAZQUEZ, MERCEDES | Agent | 1560 SW 139TH AVENUE, MIAMI, FL 33184-2711 |
| Name | Role | Address |
|---|---|---|
| BRACERAS, JORGE | President | 4060 SW 137TH COURT, MIAMI, FL 33175-6480 |
| Name | Role | Address |
|---|---|---|
| BRACERAS, JORGE | Director | 4060 SW 137TH COURT, MIAMI, FL 33175-6480 |
| Name | Role | Address |
|---|---|---|
| LUGO, GUILLERMO | Vice President | 731 WEST 64TH DRIVE, HIALEAH, FL 33012-6557 |
| GAZQUEZ, MERCEDES | Vice President | 1560 SW 139 AVE, MIAMI, FL 331842710 |
| Name | Role | Address |
|---|---|---|
| GAZQUEZ, MERCEDES | Secretary | 1560 SW 139 AVE, MIAMI, FL 331842710 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| AMENDMENT | 2016-07-15 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-05-27 | 4060 SW 137TH COURT, MIAMI, FL 33175-6480 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-05-23 | 1560 SW 139TH AVENUE, MIAMI, FL 33184-2711 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-05-23 | 4060 SW 137TH COURT, MIAMI, FL 33175-6480 | No data |
| AMENDMENT AND NAME CHANGE | 2016-05-23 | POLICLINICO, INC. | No data |
| REGISTERED AGENT NAME CHANGED | 2016-05-23 | GAZQUEZ, MERCEDES | No data |
| Name | Date |
|---|---|
| Amendment | 2016-07-15 |
| Amendment and Name Change | 2016-05-23 |
| Domestic Profit | 2016-02-15 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
