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MIAMI BLU SKY MEDICAL CENTER, INC.

Company Details

Entity Name: MIAMI BLU SKY MEDICAL CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Jan 2021 (4 years ago)
Last Event: AMENDMENT
Event Date Filed: 25 Oct 2022 (2 years ago)
Document Number: P21000002183
FEI/EIN Number 86-1451136
Address: 85 Grand Canal Dr, MIAMI, FL, 33144, US
Mail Address: 85 Grand Canal Dr, MIAMI, FL, 33144, US
ZIP code: 33144
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851982169 2021-01-29 2023-09-05 85 GRAND CANAL DR STE 407, MIAMI, FL, 331442571, US 85 GRAND CANAL DR STE 407, MIAMI, FL, 331442571, US

Contacts

Phone +1 786-409-4379
Fax 7864094217

Authorized person

Name ALEXEIS GONZALEZ LACOSTA
Role PRESIDENT
Phone 7864094379

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
ALEXEIS GONZALEZ Agent 85 Grand Canal Dr, MIAMI, FL, 33144

President

Name Role Address
ALEXEIS GONZALEZ President 85 Grand Canal Dr, MIAMI, FL, 33144

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-01 85 Grand Canal Dr, Suite 407, MIAMI, FL 33144 No data
CHANGE OF MAILING ADDRESS 2023-04-01 85 Grand Canal Dr, Suite 407, MIAMI, FL 33144 No data
REGISTERED AGENT ADDRESS CHANGED 2023-04-01 85 Grand Canal Dr, Suite 407, MIAMI, FL 33144 No data
AMENDMENT 2022-10-25 No data No data
REGISTERED AGENT NAME CHANGED 2022-10-25 ALEXEIS GONZALEZ No data
AMENDMENT 2022-09-12 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-29
AMENDED ANNUAL REPORT 2023-04-01
ANNUAL REPORT 2023-02-27
Amendment 2022-10-25
Amendment 2022-09-12
ANNUAL REPORT 2022-01-04
Domestic Profit 2021-01-12

Date of last update: 01 Feb 2025

Sources: Florida Department of State