| Entity Name: | GREAT LIFE MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Jul 2020 (5 years ago) |
| Date of dissolution: | 29 Aug 2022 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Aug 2022 (2 years ago) |
| Document Number: | P20000054497 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 4355 WEST 16TH AVE, 205B, HIALEAH, FL, 33012 |
| Mail Address: | 4355 WEST 16TH AVE, 205B, HIALEAH, FL, 33012 |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790376887 | 2021-02-01 | 2021-02-01 | 4355 W 16TH AVE STE 205B, HIALEAH, FL, 330127668, US | 4355 W 16TH AVE STE 205B, HIALEAH, FL, 330127668, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 786-353-2732 |
| Fax | 7863532739 |
Authorized person
| Name | ADRIAN VIGIL PEREIRA |
| Role | OWNER |
| Phone | 7868574952 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VIGIL PEREIRA ADRIAN | Agent | 4355 WEST 16TH AVE, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| VIGIL PEREIRA ADRIAN | President | 4355 WEST 16TH AVE SUITE 205B, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-08-29 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-08-29 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-27 |
| Domestic Profit | 2020-07-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
