| Entity Name: | SIA MEDICAL CENTER CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Nov 2020 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Nov 2023 (a year ago) |
| Document Number: | P20000088862 |
| FEI/EIN Number | 85-3924106 |
| Address: | 12811 KENWOOD LN, FORT MYERS, FL, 33907, US |
| Mail Address: | 12811 KENWOOD LN, FORT MYERS, FL, 33907, US |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669062691 | 2021-01-23 | 2023-02-22 | 12811 KENWOOD LN STE 105, FORT MYERS, FL, 339075643, US | 12811 KENWOOD LN STE 105, FORT MYERS, FL, 339075643, US | |||||||||||||||||
|
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| Phone | +1 305-833-9690 |
Authorized person
| Name | FRANK E SCULL-JUSTIZ |
| Role | PRESIDENT |
| Phone | 3058339690 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| FRANK E. SCULL JUSTIZ | Agent | 1424 SE 14 TERRA, CAPE CORAL, FL, 33990 |
| Name | Role | Address |
|---|---|---|
| SCULL JUSTIZ FRANK E | President | 12811 KENWOOD LN UNIT 105, FORT MYERS, FL, 33907 |
| Name | Role | Address |
|---|---|---|
| SCULL JUSTIZ RAUL ALEJANDRO | Vice President | 10500 NW 28 AVE, MIAMI, FL, 33147 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-11-01 | FRANK E. SCULL JUSTIZ | No data |
| REINSTATEMENT | 2023-11-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-11 | 1424 SE 14 TERRA, CAPE CORAL, FL 33990 | No data |
| AMENDMENT | 2023-01-11 | No data | No data |
| AMENDMENT | 2022-05-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-23 | 12811 KENWOOD LN, UNIT 105, FORT MYERS, FL 33907 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-23 | 12811 KENWOOD LN, UNIT 105, FORT MYERS, FL 33907 | No data |
| AMENDMENT | 2022-03-29 | No data | No data |
| AMENDMENT | 2021-10-04 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J23000406280 | ACTIVE | 2022-010359-CC-05 | MIAMI-DADE COUNTY COURT | 2023-08-21 | 2028-09-01 | $14507.19 | UNIVERSITY CENTER NORTH LTD, 1405 SW 107TH AVE, 301-B, MIAMI, FL 33174 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| REINSTATEMENT | 2023-11-01 |
| Amendment | 2023-01-11 |
| Amendment | 2022-05-23 |
| Amendment | 2022-03-29 |
| ANNUAL REPORT | 2022-01-29 |
| Amendment | 2021-10-04 |
| ANNUAL REPORT | 2021-04-27 |
| Amendment | 2021-03-19 |
| Domestic Profit | 2020-11-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
