| Entity Name: | EVOLUTION MED INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Jul 2019 (6 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P19000057693 |
| FEI/EIN Number | 84-2388705 |
| Address: | 7000 WEST 12TH AVE., SUITE 12, HIALEAH, FL, 33014, US |
| Mail Address: | 7000 WEST 12TH AVE., SUITE 12, HIALEAH, FL, 33014, US |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720639099 | 2019-09-26 | 2021-06-24 | 7911 NW 72ND AVE STE 215A, MEDLEY, FL, 331662223, US | 7911 NW 72ND AVE STE 215A, MEDLEY, FL, 331662223, US | |||||||||||||||
|
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| Phone | +1 786-409-5065 |
| Fax | 7864095199 |
Authorized person
| Name | MAURA M PEREZ |
| Role | PRESIDENT |
| Phone | 7864095065 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| pacheco yosvany p | Agent | 7000 WEST 12TH AVE., HIALEAH, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| PEREZ PACHECO YOSVANY | President | 7000 WEST 12TH AVE., SUITE 12, HIALEAH, FL, 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-10-15 | pacheco, yosvany perez | No data |
| AMENDMENT | 2021-10-15 | No data | No data |
| AMENDMENT | 2021-08-31 | No data | No data |
| AMENDMENT | 2021-07-21 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-25 | 7000 WEST 12TH AVE., SUITE 12, HIALEAH, FL 33014 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-25 | 7000 WEST 12TH AVE., SUITE 12, HIALEAH, FL 33014 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-25 | 7000 WEST 12TH AVE., SUITE 12, HIALEAH, FL 33014 | No data |
| AMENDMENT | 2020-09-28 | No data | No data |
| Name | Date |
|---|---|
| Amendment | 2021-10-15 |
| Amendment | 2021-08-31 |
| Amendment | 2021-07-21 |
| ANNUAL REPORT | 2021-02-25 |
| Amendment | 2020-09-28 |
| ANNUAL REPORT | 2020-04-20 |
| Domestic Profit | 2019-07-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
