| Entity Name: | BLUE MEDICI CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 23 May 2016 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 Jan 2018 (7 years ago) |
| Document Number: | P16000045440 |
| FEI/EIN Number | 81-2748498 |
| Address: | 12780 SW 71 AVE, MIAMI, FL 33156 |
| Mail Address: | 12780 SW 71 AVE, MIAMI, FL 33156 |
| ZIP code: | 33156 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942927231 | 2022-10-26 | 2022-11-01 | 12780 SW 71ST AVE, PINECREST, FL, 331566239, US | 12780 SW 71ST AVE, PINECREST, FL, 331566239, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Fax | 3054701853 |
Authorized person
| Name | LUIS HERNANDEZ ROSADO |
| Role | OWNER |
| Phone | 7879022594 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1144527466 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ ROSADO, LUIS | Agent | 12780 SW 71 AVE, MIAMI, FL 33156 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ ROSADO, LUIS | President | 12780 SW 71 AVE, MIAMI, FL 33156 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-30 | 12780 SW 71 AVE, MIAMI, FL 33156 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-30 | 12780 SW 71 AVE, MIAMI, FL 33156 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-30 | 12780 SW 71 AVE, MIAMI, FL 33156 | No data |
| REINSTATEMENT | 2018-01-12 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-12 | HERNANDEZ ROSADO, LUIS | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-30 |
| REINSTATEMENT | 2018-01-12 |
| Domestic Profit | 2016-05-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1004598408 | 2021-01-31 | 0455 | PPS | 12780 SW 71st Ave, Pinecrest, FL, 33156-6239 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 19 Feb 2025
Sources: Florida Department of State
