| Entity Name: | EXCELLENCE HEALTH CLINIC INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 08 Jan 2018 (7 years ago) |
| Date of dissolution: | 09 Jan 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 09 Jan 2023 (2 years ago) |
| Document Number: | P18000002412 |
| FEI/EIN Number | 82-4360929 |
| Address: | 7955 NW 12 STREET, SUITE 405, MIAMI, FL 33126 |
| Mail Address: | 7955 NW 12 STREET, SUITE 405, MIAMI, FL 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932671740 | 2018-12-19 | 2021-03-04 | 7925 NW 12TH ST, DORAL, FL, 331261827, US | 7925 NW 12TH ST STE 315, DORAL, FL, 331261846, US | |||||||||||||||||||||
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| Phone | +1 786-558-9970 |
| Fax | 7865587768 |
Authorized person
| Name | YOISEL A PARGAS |
| Role | PRESIDENT |
| Phone | 7865589970 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 105770900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PARGAS BATISTA, YOISEL A | Agent | 7955 NW 12 STREET, SUITE 405, MIAMI, FL 33126 |
| Name | Role | Address |
|---|---|---|
| PARGAS BATISTA, YOISEL A | President | 7955 NW 12 STREET, SUITE 405 MIAMI, FL 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-01-09 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-03 | 7955 NW 12 STREET, SUITE 405, MIAMI, FL 33126 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-03 | 7955 NW 12 STREET, SUITE 405, MIAMI, FL 33126 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-03 | 7955 NW 12 STREET, SUITE 405, MIAMI, FL 33126 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-02-28 | PARGAS BATISTA, YOISEL A | No data |
| AMENDMENT | 2019-11-12 | No data | No data |
| AMENDMENT | 2019-11-01 | No data | No data |
| AMENDMENT | 2019-09-16 | No data | No data |
| AMENDMENT | 2018-10-19 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-01-09 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-02-28 |
| Amendment | 2019-11-12 |
| Amendment | 2019-11-01 |
| Amendment | 2019-09-16 |
| ANNUAL REPORT | 2019-04-09 |
| Amendment | 2018-10-19 |
| Domestic Profit | 2018-01-08 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
