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HOLLYWOOD CLINIC CORP

Company Details

Entity Name: HOLLYWOOD CLINIC CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 08 May 2017 (8 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: P17000041422
FEI/EIN Number 82-1515971
Address: 5941 NW 173 Dr, MIAMI, FL, 33015, US
Mail Address: 5941 NW 173 Dr, MIAMI, FL, 33015, US
ZIP code: 33015
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003312331 2018-04-04 2018-04-04 5941 NW 173RD DR UNIT 7, HIALEAH, FL, 330155110, US 5941 NW 173RD DR UNIT 7, HIALEAH, FL, 330155110, US

Contacts

Phone +1 305-817-1424
Fax 3058171426

Authorized person

Name MR. CELIA GONZALEZ
Role PRESIDENT
Phone 7865474546

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
License Number HCC11111
State FL
Is Primary Yes

Agent

Name Role Address
GONZALEZ CELIA Agent 5941 NW 173 Dr, MIAMI, FL, 33015

Vice President

Name Role Address
BOZA RAUL Vice President 5941 NW 173 Dr, MIAMI, FL, 33015

President

Name Role Address
GONZALEZ CELIA President 5941 NW 173 Dr, MIAMI, FL, 33015

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000089773 SLEEP DISORDER DIAGNOSTIC CENTER INC EXPIRED 2017-08-15 2022-12-31 No data 3850 SW 87 AVE, SUITE 305, MIAMI, FL, 33165

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-03-27 5941 NW 173 Dr, Bay 7, MIAMI, FL 33015 No data
REGISTERED AGENT NAME CHANGED 2018-03-27 GONZALEZ, CELIA No data
REGISTERED AGENT ADDRESS CHANGED 2018-03-27 5941 NW 173 Dr, Bay 7, MIAMI, FL 33015 No data
CHANGE OF MAILING ADDRESS 2018-03-27 5941 NW 173 Dr, Bay 7, MIAMI, FL 33015 No data
AMENDMENT 2018-01-17 No data No data
AMENDMENT 2017-08-08 No data No data

Documents

Name Date
AMENDED ANNUAL REPORT 2018-03-27
ANNUAL REPORT 2018-03-07
Amendment 2018-01-17
Amendment 2017-08-08
Domestic Profit 2017-05-08

Date of last update: 01 Feb 2025

Sources: Florida Department of State