| Entity Name: | GASTON MEDICAL CENTER CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Jan 2021 (4 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 12 May 2021 (4 years ago) |
| Document Number: | P21000001919 |
| FEI/EIN Number | 86-1729513 |
| Address: | 6500 COW PEN RD,, STE 201, MIAMI LAKES, FL, 33014, US |
| Mail Address: | 6500 COW PEN RD,, STE 201, MIAMI LAKES, FL, 33014, US |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295468247 | 2022-07-07 | 2023-01-04 | 6500 COW PEN RD STE 201, MIAMI LAKES, FL, 330147620, US | 6500 COW PEN RD STE 201, MIAMI LAKES, FL, 330147620, US | |||||||||||||||||||||
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| Phone | +1 786-518-3907 |
| Fax | 7869803907 |
Authorized person
| Name | ALEXIS RODRIGUEZ |
| Role | PRESIDENT |
| Phone | 7865183907 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | 12709 |
| Number | 861729510 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ ALEXIS | Agent | 6500 COW PEN RD,, MIAMI LAKES, FL, 33014 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ ALEXIS | President | 6500 COW PEN RD,, MIAMI LAKES, FL, 33014 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2021-05-12 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-05-12 | 6500 COW PEN RD,, STE 201, MIAMI LAKES, FL 33014 | No data |
| CHANGE OF MAILING ADDRESS | 2021-05-12 | 6500 COW PEN RD,, STE 201, MIAMI LAKES, FL 33014 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-05-12 | RODRIGUEZ, ALEXIS | No data |
| AMENDMENT | 2021-03-03 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-20 |
| ANNUAL REPORT | 2023-01-06 |
| ANNUAL REPORT | 2022-01-21 |
| Amendment | 2021-05-12 |
| Amendment | 2021-03-03 |
| Domestic Profit | 2021-01-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
