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PRO LIFE MEDICAL CENTER. CORP - Florida Company Profile

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Company Details

Entity Name: PRO LIFE MEDICAL CENTER. CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Feb 2021 (4 years ago)
Last Event: AMENDMENT
Event Date Filed: 16 Oct 2023 (2 years ago)
Document Number: P21000007824
FEI/EIN Number 86-1900039
Address: 7925 NW 12TH ST, DORAL, FL, 33126, US
Mail Address: 7925 NW 12TH ST, DORAL, FL, 33126, US
ZIP code: 33126
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MANUEL JOSE AMIGO GUILLEN President 7925 NW 12TH ST, DORAL, FL, 33126
MANUEL JOSE AMIGO GUILLEN Agent 7925 NW 12TH ST SUITE 315, DORAL, FL, 33126

National Provider Identifier

NPI Number:
1467045252
Certification Date:
2024-03-08

Authorized Person:

Name:
MANUEL JOSE AMIGO GUILLEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
103K00000X - Behavior Analyst
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-10-31 7925 NW 12TH ST, SUITE 315, DORAL, FL 33126 -
CHANGE OF MAILING ADDRESS 2023-10-31 7925 NW 12TH ST, SUITE 315, DORAL, FL 33126 -
REGISTERED AGENT ADDRESS CHANGED 2023-10-31 7925 NW 12TH ST SUITE 315, DORAL, FL 33126 -
AMENDMENT 2023-10-16 - -
AMENDMENT 2022-10-10 - -
AMENDMENT 2021-02-09 - -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J24000066660 ACTIVE 1000000978328 MIAMI-DADE 2024-01-23 2034-01-31 $ 708.77 STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 3750 NW 87TH AVE STE 300, DORAL FL331782430

Documents

Name Date
ANNUAL REPORT 2024-08-19
AMENDED ANNUAL REPORT 2023-10-31
Amendment 2023-10-16
ANNUAL REPORT 2023-02-08
Amendment 2022-10-10
ANNUAL REPORT 2022-04-30
Amendment 2021-02-09
Domestic Profit 2021-02-02

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Date of last update: 02 Jul 2025

Sources: Florida Department of State