| Entity Name: | MDIAZ HEALTH CARE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 30 Jun 2016 (9 years ago) |
| Date of dissolution: | 22 Dec 2017 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 22 Dec 2017 (7 years ago) |
| Document Number: | P16000056320 |
| Address: | 294 NW 57 AVE, MIAMI, FL 33126 |
| Mail Address: | 294 NW 57 AVE, MIAMI, FL 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972093300 | 2018-05-10 | 2023-03-13 | 14249 SW 42ND ST, MIAMI, FL, 331756408, US | 14249 SW 42ND ST, MIAMI, FL, 331756408, US | |||||||||||||||||||||||
|
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| Phone | +1 786-715-2351 |
Authorized person
| Name | LILIETH RODRIGUEZ |
| Role | ADMINISTRATOR |
| Phone | 7867152351 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| License Number | 9418 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9418 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DIAZ, MAIRA | Agent | 294 NW 57 AVE, MIAMI, FL 33126 |
| Name | Role | Address |
|---|---|---|
| DIAZ, MAIRA | President | 294 NW 57 AVE, MIAMI, FL 33126 |
| Name | Role | Address |
|---|---|---|
| FUENTES, CHANTAL C | Vice President | 294 NW 57 AVE, MIAMI, FL 33126 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000029657 | LOVE AND CARE ADULT DAYCARE | EXPIRED | 2017-03-21 | 2022-12-31 | No data | 14942 SW 42 ST #14, MIAMI, FL, 33195 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-12-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| AMENDMENT | 2017-03-20 | No data | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2017-12-22 |
| Amendment | 2017-03-20 |
| Domestic Profit | 2016-06-30 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
