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BLUE LAKE MEDICAL CENTER INC - Florida Company Profile

Company Details

Entity Name: BLUE LAKE MEDICAL CENTER INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

BLUE LAKE 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: 09 Jan 2020 (5 years ago)
Date of dissolution: 22 Sep 2023 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 22 Sep 2023 (2 years ago)
Document Number: P20000005091
FEI/EIN Number 84-5162404

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2360 WEST 68 STREET, HIALEAH, FL, 33016, US
Mail Address: 2360 WEST 68 STREET, HIALEAH, FL, 33016, US
ZIP code: 33016
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BURGOS TIBURCIO ALBERTO President 2360 WEST 68 STREET, HIALEAH, FL, 33016
BURGOS TIBURCIO ALBERTO Agent 2360 WEST 68 STREET, HIALEAH, FL, 33016

National Provider Identifier

NPI Number:
1114512670
Certification Date:
2021-03-07

Authorized Person:

Name:
JORGE GARCIA
Role:
CREDENTIALING DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3053921217

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 - -
AMENDMENT AND NAME CHANGE 2020-02-11 BLUE LAKE MEDICAL CENTER INC -
CHANGE OF PRINCIPAL ADDRESS 2020-02-11 2360 WEST 68 STREET, STE 122, HIALEAH, FL 33016 -

Documents

Name Date
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-03-18
Amendment and Name Change 2020-02-11
Domestic Profit 2020-01-09

Date of last update: 01 May 2025

Sources: Florida Department of State