| Entity Name: | AXIAL MEDICAL CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 01 Mar 2019 (6 years ago) |
| Date of dissolution: | 09 Jul 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 09 Jul 2021 (4 years ago) |
| Document Number: | P19000020010 |
| FEI/EIN Number | 83-4038956 |
| Address: | 5190 NW 167TH ST, 306, MIAMI GARDENS, FL 33014 |
| Mail Address: | 5190 NW 167TH ST, 306, MIAMI GARDENS, FL 33014 |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720540214 | 2019-04-03 | 2020-03-11 | 5190 NW 167TH ST STE 306, MIAMI LAKES, FL, 330146338, US | 5190 NW 167TH ST STE 306, MIAMI LAKES, FL, 330146338, US | |||||||||||||||||||||||||
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| Phone | +1 305-627-5557 |
Authorized person
| Name | WENDY PELEGRIN |
| Role | ADMINISTRATOR |
| Phone | 3056275557 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | No |
| Taxonomy Code | 2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, BLANCA N | Agent | 5190 NW 167TH ST, 306, MIAMI GARDENS, FL 33014 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, BLANCA N | President | 5190 NW 167TH ST STE 306, MIAMI GARDENS, FL 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-07-09 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-07-09 |
| ANNUAL REPORT | 2020-06-26 |
| Domestic Profit | 2019-03-01 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
