| Entity Name: | COCONUT GROVE MEDICAL CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 11 Jan 1994 (31 years ago) |
| Date of dissolution: | 11 Mar 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 11 Mar 2019 (6 years ago) |
| Document Number: | P94000002457 |
| FEI/EIN Number | 65-0470484 |
| Address: | C/O MICHAEL E. JOHNSON, M.D., 33 FAIRWAY CIRCLE, NEW SMYRNA BEACH, FL 32168 |
| Mail Address: | PO BOX 922, NEW SMYRNA BEACH, FL 32170 |
| ZIP code: | 32168 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518228287 | 2012-05-30 | 2012-05-30 | 2250 S DIXIE HWY, SUITE 1, MIAMI, FL, 331332360, US | 2250 S DIXIE HWY, SUITE 1, MIAMI, FL, 331332360, US | |||||||||||||||||||
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| Phone | +1 305-856-5170 |
| Fax | 3058569063 |
Authorized person
| Name | DR. MICHAEL EUGENE JOHNSON |
| Role | MD/OWNER |
| Phone | 3058565170 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | ME56901 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PAIGE, ROBERT EESQ | Agent | 2151 LEJEUNE RD, SUITE 309-A, CORAL GABLES, FL 33134 |
| Name | Role | Address |
|---|---|---|
| JOHNSON MD, MICHAEL E | Director | 2250 S DIXIE HWY, COCONUT GROVE, FL 33133 |
| HUGHES, ANDREA KELLY | Director | 2250 S DIXIE HWY, COCONUT GROVE, FL 33133 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-03-11 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-03 | C/O MICHAEL E. JOHNSON, M.D., 33 FAIRWAY CIRCLE, NEW SMYRNA BEACH, FL 32168 | No data |
| CHANGE OF MAILING ADDRESS | 2016-02-09 | C/O MICHAEL E. JOHNSON, M.D., 33 FAIRWAY CIRCLE, NEW SMYRNA BEACH, FL 32168 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-03-11 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-01-19 |
| ANNUAL REPORT | 2016-02-09 |
| ANNUAL REPORT | 2015-01-27 |
| ANNUAL REPORT | 2014-02-04 |
| ANNUAL REPORT | 2013-01-29 |
| ANNUAL REPORT | 2012-01-12 |
| ANNUAL REPORT | 2011-01-10 |
| ANNUAL REPORT | 2010-01-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
