| Entity Name: | CARROUSEL MEDICAL CENTER CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 18 Mar 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: | P16000025817 |
| Address: | 3201 BUDINGER AVE, ST CLOUD, FL 34769 |
| Mail Address: | 3201 BUDINGER AVE, ST CLOUD, FL 34769 |
| ZIP code: | 34769 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932656253 | 2016-09-02 | 2016-09-02 | 3201 BUDINGER AVE, SAINT CLOUD, FL, 347697203, US | 3201 BUDINGER AVE, SAINT CLOUD, FL, 347697203, US | |||||||||||||||||||||
|
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| Phone | +1 407-414-8409 |
Authorized person
| Name | DR. REYNALDO PEZZOTTI |
| Role | PRESIDENT |
| Phone | 9399692068 |
Taxonomy
| Taxonomy Code | 261QC1500X - Community Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| RIVERA, JOSE A | Agent | 3201 BUDINGER AVE, ST. CLOUD, FL 34769 |
| Name | Role | Address |
|---|---|---|
| RIVERA, JOSE A | President | 3201 BUDINGER AVE, ST. CLOUD, FL 34769 |
| Name | Role | Address |
|---|---|---|
| RIVERA, DALIS | Vice President | 3201 BUDINGER AVE, ST. CLOUD, FL 34769 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2016-03-18 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
