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COLON MEDICAL CENTER INC

Company Details

Entity Name: COLON MEDICAL CENTER INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 13 Dec 2023 (a year ago)
Last Event: REINSTATEMENT
Event Date Filed: 14 Nov 2024 (3 months ago)
Document Number: P23000085474
FEI/EIN Number 93-4831388
Address: 12175 SW 132 CT, MIAMI, FL 33186
Mail Address: 12175 SW 132 CT, MIAMI, FL 33186
ZIP code: 33186
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538923370 2024-02-12 2024-02-13 12175 SW 132ND CT FL 1, MIAMI, FL, 331866410, US 12175 SW 132ND CT FL 1, MIAMI, FL, 331866410, US

Contacts

Phone +1 941-225-5849

Authorized person

Name SERGIO YASMANY GALLOSO PAEZ
Role OWNER
Phone 9412255849

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
GALLOSO PAEZ, SERGIO YASMANY Agent 12175 SW 132 CT, MIAMI, FL 33186

President

Name Role Address
GALLOSO PAEZ, SERGIO YASMANY President 12175 SW 132 CT, MIAMI, FL 33186

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-11-14 GALLOSO PAEZ, SERGIO YASMANY No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data

Documents

Name Date
REINSTATEMENT 2024-11-14
Domestic Profit 2023-12-13

Date of last update: 09 Feb 2025

Sources: Florida Department of State