| Entity Name: | SOUTHGATE MEDICAL OF FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Aug 1994 (30 years ago) |
| Document Number: | P94000058946 |
| FEI/EIN Number | 650524833 |
| Address: | 955 NW 3RD STREET, MIAMI, FL, 33128, US |
| Mail Address: | 955 NW 4TH STREET, MIAMI, FL, 33128, US |
| ZIP code: | 33128 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154477214 | 2007-01-25 | 2020-08-22 | 899 NW 4TH ST, MIAMI, FL, 331281309, US | 899 NW 4TH ST, MIAMI, FL, 331281309, US | |||||||||||||||||||
|
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| Phone | +1 305-926-0960 |
| Fax | 3053261647 |
Authorized person
| Name | MR. RICHARD EUGENE STACEY SR. |
| Role | VICE-PRESIDENT |
| Phone | 3059260960 |
Taxonomy
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | 976 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STACEY RICHARD | Agent | 899 NW 4TH ST., MIAMI, FL, 33128 |
| Name | Role | Address |
|---|---|---|
| STACEY RALPH L | President | 899 NW 4TH ST., MIAMI, FL, 33128 |
| Name | Role | Address |
|---|---|---|
| STACEY RALPH L | Treasurer | 899 NW 4TH ST., MIAMI, FL, 33128 |
| Name | Role | Address |
|---|---|---|
| STACEY RICHARD | Secretary | 899 NW 4TH ST., MIAMI, FL, 33128 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2015-03-16 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
