| Entity Name: | MGM OUTPATIENT INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Sep 2019 (5 years ago) |
| Date of dissolution: | 27 Oct 2021 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 27 Oct 2021 (3 years ago) |
| Document Number: | P19000072089 |
| FEI/EIN Number | 84-3132881 |
| Address: | 2450 SW 137 AVE, 206, MIAMI, FL, 33175 |
| Mail Address: | 2450 SW 137 AVE, 206, MIAMI, FL, 33175 |
| ZIP code: | 33175 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659910925 | 2020-01-03 | 2020-01-03 | 2450 SW 137TH AVE STE 206, MIAMI, FL, 331756312, US | 2450 SW 137TH AVE STE 206, MIAMI, FL, 331756312, US | |||||||||||||||||
|
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| Phone | +1 786-409-3651 |
Authorized person
| Name | NELSON RAMIREZ-GONZALEZ |
| Role | PRESIDENT |
| Phone | 7864093651 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GUZMAN MARTINEZ MAIDA | Agent | 2450 SW 137 AVE, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| GUZMAN MARTINEZ MAIDA | President | 2450 SW 137 AVE #206, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-10-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-30 | GUZMAN MARTINEZ, MAIDA | No data |
| AMENDMENT | 2019-11-20 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-11-20 | 2450 SW 137 AVE, 206, MIAMI, FL 33175 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-10-27 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-25 |
| Amendment | 2019-11-20 |
| Domestic Profit | 2019-09-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
