| Entity Name: | PHYSICIAN OFFICES OF FLORIDA CITY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Jun 1994 (31 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P94000047788 |
| FEI/EIN Number | 650501090 |
| Address: | 646 W. PALM DR., FLORIDA CITY, FL, 33034 |
| Mail Address: | PO BOX 901290, HOMESTEAD, FL, 33090-1290 |
| ZIP code: | 33034 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487860136 | 2007-05-16 | 2008-07-16 | 646 WEST PALM DRIVE, FLORIDA CITY, FL, 33034, US | 646 WEST PALM DRIVE, FLORIDA CITY, FL, 33034, US | |||||||||||||||||||||||||||
|
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| Phone | +1 305-242-0883 |
| Fax | 3052429523 |
Authorized person
| Name | MR. IRA WELLISCH |
| Role | VICE PRESIDENT |
| Phone | 3052420883 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 9611161 |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 375969500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WELLISCH IRA | Agent | 646 W PALM DR, FLORIDA CITY, FL, 33034 |
| Name | Role | Address |
|---|---|---|
| WELLISCH IRA S | Vice President | 646 WEST PALM DRIVE, FLORIDA CITY, FL, 33034 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-01-03 | 646 W. PALM DR., FLORIDA CITY, FL 33034 | No data |
| CHANGE OF MAILING ADDRESS | 2003-01-03 | 646 W. PALM DR., FLORIDA CITY, FL 33034 | No data |
| AMENDMENT | 2001-08-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2000-04-24 | WELLISCH, IRA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1997-04-21 | 646 W PALM DR, FLORIDA CITY, FL 33034 | No data |
| AMENDMENT AND NAME CHANGE | 1994-08-19 | PHYSICIAN OFFICES OF FLORIDA CITY, INC. | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J04900011056 | LAPSED | 02-24309 CC 23(04) | MIAMI-DADE COUNTY COUNTY CRT | 2004-04-06 | 2009-04-28 | $14762.48 | LABORATORY CORPORATION OF AMERICA, C/O ROBERT E. KORN, ESQ., 5295 TOWN CENTER RD. #201, BOCA RATON, FL 33486 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-05-01 |
| ANNUAL REPORT | 2013-05-01 |
| Off/Dir Resignation | 2012-10-09 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-04-12 |
| ANNUAL REPORT | 2010-04-30 |
| ANNUAL REPORT | 2009-04-30 |
| ANNUAL REPORT | 2008-04-28 |
| ANNUAL REPORT | 2007-03-15 |
| ANNUAL REPORT | 2006-05-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
