| Entity Name: | EXCELLENT HEALTH MEDICAL CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
EXCELLENT HEALTH MEDICAL CENTER INC is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 25 Jan 2018 (7 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P18000008065 |
| FEI/EIN Number |
824175881
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4620 N HABANA AVE, SUITE 202, TAMPA, FL, 33164, US |
| Mail Address: | 4620 N HABANA AVE, SUITE 202, TAMPA, FL, 33164, US |
| ZIP code: | 33164 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801362793 | 2018-10-17 | 2022-07-26 | 4620 N HABANA AVE STE 202, TAMPA, FL, 336147107, US | 4620 N HABANA AVE STE 202, TAMPA, FL, 336147107, US | |||||||||||||||||||||||
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| Phone | +1 786-707-9958 |
Authorized person
| Name | HERMELINDA OLIVIA ROMERO |
| Role | OWNER |
| Phone | 7867079958 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102996200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROMERO CABREJA HERMELINDA O | Agent | 4620 N HABANA AVE, TAMPA, FL, 33164 |
| HERMELINDA OLIVIA ROMERO CABREJA | President | 4620 N HABANA AVE., SUITE 202, TAMPA, FL, 33164 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-12 | 4620 N HABANA AVE, SUITE 202, TAMPA, FL 33164 | - |
| AMENDMENT | 2022-05-12 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-12 | 4620 N HABANA AVE, SUITE 202, TAMPA, FL 33164 | - |
| CHANGE OF MAILING ADDRESS | 2022-05-12 | 4620 N HABANA AVE, SUITE 202, TAMPA, FL 33164 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| AMENDMENT | 2020-09-04 | - | - |
| REGISTERED AGENT NAME CHANGED | 2019-10-23 | ROMERO CABREJA, HERMELINDA O | - |
| REINSTATEMENT | 2019-10-23 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| Name | Date |
|---|---|
| Amendment | 2022-05-12 |
| ANNUAL REPORT | 2022-05-11 |
| ANNUAL REPORT | 2021-04-26 |
| AMENDED ANNUAL REPORT | 2020-11-10 |
| Amendment | 2020-09-04 |
| ANNUAL REPORT | 2020-05-11 |
| REINSTATEMENT | 2019-10-23 |
| Amendment | 2019-03-12 |
| Amendment | 2018-02-16 |
| Domestic Profit | 2018-01-25 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
