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CLINICAS VICTORIA INC

Company Details

Entity Name: CLINICAS VICTORIA INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 20 Jan 2022 (3 years ago)
Document Number: P22000007316
FEI/EIN Number 88-0580774
Address: 2099 W 76 ST, HIALEAH, FL 33016
Mail Address: 2099 W 76 ST, HIALEAH, FL 33016
ZIP code: 33016
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770270555 2023-04-20 2023-04-20 2099 W 76TH ST, HIALEAH, FL, 330161834, US 2099 W 76TH ST, HIALEAH, FL, 330161834, US

Contacts

Phone +1 305-263-0789

Authorized person

Name MRS. YANDIRA HERNANDEZ FERNANDEZ
Role VICE PRESIDENT
Phone 3052630789

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
NUNEZ RODRIGUEZ, ADOLFO Agent 5801 E 2ND AVE, HIALEAH, FL 33013

President

Name Role Address
NUNEZ RODRIGUEZ, ADOLFO President 5801 E 2ND AVE, HIALEAH, FL 33013

Vice President

Name Role Address
HERNANDEZ FERNANDEZ, YANDIRA Vice President 10478 NW 132nd ST, Hialeah Gardens, FL 33018

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-20 2099 W 76 ST, HIALEAH, FL 33016 No data
CHANGE OF MAILING ADDRESS 2023-04-20 2099 W 76 ST, HIALEAH, FL 33016 No data

Documents

Name Date
ANNUAL REPORT 2024-04-23
AMENDED ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2023-03-02
Domestic Profit 2022-01-20

Date of last update: 12 Feb 2025

Sources: Florida Department of State