| Entity Name: | FENIX MEDICAL CLINIC CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 13 Mar 2023 (2 years ago) |
| Date of dissolution: | 13 Sep 2023 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 13 Sep 2023 (a year ago) |
| Document Number: | P23000019297 |
| Address: | 4701 W. 4 AVE, HIALEAH, FL 33012 |
| Mail Address: | 4701 W. 4 AVE, HIALEAH, FL 33012 |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902580699 | 2023-06-13 | 2023-06-13 | 4701 W 4TH AVE., HIALEAH, FL, 33012, US | 4701 W 4TH AVE., HIALEAH, FL, 33012, US | |||||||||||||||||
|
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| Phone | +1 305-824-2023 |
| Fax | 7868145703 |
| Phone | +1 786-542-9702 |
Authorized person
| Name | ELENA R FOWLER |
| Role | OWNER |
| Phone | 3058242023 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ZULEIKA HERNANDEZ PEREA | Agent | 9029 NW 152 LN, MIAMI LAKES, FL 33018 |
| Name | Role | Address |
|---|---|---|
| MAIKEL QUINTANA PUERTO | Secretary | 4701 W. 4 AVE, HIALEAH, FL 33012 |
| Name | Role | Address |
|---|---|---|
| ZULEIKA HERNANDEZ PEREA | Vice President | 4701 W. 4 AVE, HIALEAH, FL 33012 |
| Name | Role | Address |
|---|---|---|
| YANETSI M. ALVAREZ | President | 4701 W. 4 AVE, HIALEAH, FL 33012 |
| Name | Role | Address |
|---|---|---|
| ELENA RAFAELA VILLAZON | Treasurer | 4701 W. 4 AVE, HIALEAH, FL 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-09-13 | No data | No data |
| AMENDMENT | 2023-06-02 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-09-13 |
| Amendment | 2023-06-02 |
| Domestic Profit | 2023-03-13 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
