Entity Name: | WEST FLAGLER PAIN CARE CENTER, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 13 Sep 1993 (31 years ago) |
Date of dissolution: | 27 Sep 2024 (4 months ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2024 (4 months ago) |
Document Number: | P93000063480 |
FEI/EIN Number | 65-0435230 |
Address: | 8042 SW 89 STREET, MIAMI, FL 33156 |
Mail Address: | 8042 SW 89 STREET, MIAMI, FL 33156 |
ZIP code: | 33156 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1932426525 | 2010-04-23 | 2010-04-23 | 8410 W FLAGLER ST, SUITE 208B, MIAMI, FL, 331442092, US | 8410 W FLAGLER ST, SUITE 208B, MIAMI, FL, 331442092, US | |||||||||||||||||||||||||
|
Phone | +1 305-227-2485 |
Fax | 3052272596 |
Authorized person
Name | MELODY WEI CHYUN CHUNG |
Role | PRESIDENT |
Phone | 3052272485 |
Taxonomy
Taxonomy Code | 171100000X - Acupuncturist |
License Number | AP123 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | HEALTH CARE CLINIC EXEMPTION |
Number | 2196 |
State | FL |
Name | Role | Address |
---|---|---|
CHUN CHUNG, MELODY W | Agent | 8042 SW 89 STREET, MIAMI, FL 33156 |
Name | Role | Address |
---|---|---|
CHUNG, MELODY W | President | 8042 SW 89 STREET, MIAMI, FL 33156 |
Name | Role | Address |
---|---|---|
CHUNG, MELODY W | Director | 8042 SW 89 STREET, MIAMI, FL 33156 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2014-04-22 | 8042 SW 89 STREET, MIAMI, FL 33156 | No data |
CHANGE OF MAILING ADDRESS | 2014-04-22 | 8042 SW 89 STREET, MIAMI, FL 33156 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2014-04-22 | 8042 SW 89 STREET, MIAMI, FL 33156 | No data |
REINSTATEMENT | 2000-11-22 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2000-09-22 | No data | No data |
REGISTERED AGENT NAME CHANGED | 1995-10-06 | CHUN CHUNG, MELODY W | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2023-04-11 |
ANNUAL REPORT | 2022-04-27 |
ANNUAL REPORT | 2021-03-08 |
ANNUAL REPORT | 2020-06-29 |
ANNUAL REPORT | 2019-04-30 |
ANNUAL REPORT | 2018-04-30 |
ANNUAL REPORT | 2017-04-28 |
ANNUAL REPORT | 2016-04-27 |
ANNUAL REPORT | 2015-04-29 |
ANNUAL REPORT | 2014-04-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State