| Entity Name: | EAST MEDICAL OFFICE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Apr 2017 (8 years ago) |
| Date of dissolution: | 08 May 2024 (9 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 May 2024 (9 months ago) |
| Document Number: | P17000037796 |
| FEI/EIN Number | 82-1375993 |
| Address: | 3778 W. 12TH AVE, HIALEAH, FL, 33012, US |
| Mail Address: | 3778 W. 12TH AVE, HIALEAH, FL, 33012, US |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801314190 | 2017-09-06 | 2022-07-21 | 3778 W 12TH AVE, HIALEAH, FL, 330124126, US | 3778 W 12TH AVE, HIALEAH, FL, 330124126, US | |||||||||||||||||||||||||
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| Phone | +1 305-510-1190 |
| Fax | 7865347238 |
Authorized person
| Name | MR. DAVID BOASC SR. |
| Role | PRECIDENT |
| Phone | 3055101190 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | HCC11133 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | HEALTHCARE CLINIC |
| Number | HCC1133 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BOSCH DAVID | Agent | 3754 W 12 AVE, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| BOSCH DAVID | President | 3754 W 12 AVE, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-05-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-07-10 | 3778 W. 12TH AVE, HIALEAH, FL 33012 | No data |
| CHANGE OF MAILING ADDRESS | 2017-07-10 | 3778 W. 12TH AVE, HIALEAH, FL 33012 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-05-08 |
| ANNUAL REPORT | 2018-01-25 |
| Domestic Profit | 2017-04-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
