| Entity Name: | NEW LIFE MEDICAL INSTITUTE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 12 Sep 1994 (30 years ago) |
| Date of dissolution: | 25 Jan 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 25 Jan 2024 (a year ago) |
| Document Number: | P94000066782 |
| FEI/EIN Number | 65-0519630 |
| Address: | 861 SW 8TH STREET, MIAMI, FL 33130 |
| Mail Address: | 861 SW 8TH STREET, MIAMI, FL 33130 |
| ZIP code: | 33130 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699347393 | 2021-07-13 | 2021-07-13 | 861 SW 8TH ST, MIAMI, FL, 331303703, US | 861 SW 8TH ST, MIAMI, FL, 331303703, US | |||||||||||||||||||||
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| Phone | +1 305-857-9800 |
| Fax | 3058579802 |
Authorized person
| Name | ERNESTO RODRIGUEZ |
| Role | PRESIDENT |
| Phone | 3058579800 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 278171901 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| THE HEALTH LAW OFFICES OF ANTHONY C. VITALE, P.A. | Agent | 8100 OAK LANE, SUITE 403, MIAMI LAKES, FL 33016 |
| Name | Role | Address |
|---|---|---|
| MICHAILOS, GEORGE | PRESIDENT | 217 NW 36 AVE, DEERFIELD BEACH, FL 33442 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-01-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-17 | THE HEALTH LAW OFFICES OF ANTHONY C. VITALE, P.A. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-17 | 8100 OAK LANE, SUITE 403, MIAMI LAKES, FL 33016 | No data |
| NAME CHANGE AMENDMENT | 2014-02-13 | NEW LIFE MEDICAL INSTITUTE, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-07 | 861 SW 8TH STREET, MIAMI, FL 33130 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-07 | 861 SW 8TH STREET, MIAMI, FL 33130 | No data |
| AMENDMENT | 1995-12-28 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-01-25 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-06-08 |
| AMENDED ANNUAL REPORT | 2019-08-08 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-03-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
