| Entity Name: | BARDISA LYL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Jun 2019 (6 years ago) |
| Document Number: | P19000048724 |
| FEI/EIN Number | 842269253 |
| Address: | 7374 SW 93RD AVENUE, SUITE 202, MIAMI, FL, 33173, US |
| Mail Address: | 7374 SW 93RD AVENUE, SUITE 202, MIAMI, FL, 33173, US |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184286890 | 2019-07-02 | 2020-07-27 | 7374 SW 93RD AVE STE 202, MIAMI, FL, 331733246, US | 7374 SW 93RD AVE STE 202, MIAMI, FL, 331733246, US | |||||||||||||||||
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| Phone | +1 305-661-2002 |
Authorized person
| Name | ROSALIND BARDISA |
| Role | DOCTOR |
| Phone | 3056612002 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MARTINEZ MIGDIRAY | Agent | 7374 SW 93RD AVENUE, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| BARDISA ROSELIND | President | 7374 SW 93RD AVENUE SUITE 202, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-06 | 7374 SW 93RD AVENUE, SUITE 202, MIAMI, FL 33173 | No data |
| CHANGE OF MAILING ADDRESS | 2020-02-06 | 7374 SW 93RD AVENUE, SUITE 202, MIAMI, FL 33173 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-06 | 7374 SW 93RD AVENUE, SUITE 202, MIAMI, FL 33173 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-02-06 |
| Domestic Profit | 2019-06-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
