| Entity Name: | MIAMI SLEEP DISORDERS CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 19 Sep 1994 (30 years ago) |
| Date of dissolution: | 26 Sep 1997 (27 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 1997 (27 years ago) |
| Document Number: | P94000068714 |
| FEI/EIN Number | 65-0537747 |
| Address: | 3659 S. MIAMI AVENUE, #5004, MIAMI, FL 33133 |
| Mail Address: | 3659 S. MIAMI AVENUE, #5004, MIAMI, FL 33133 |
| ZIP code: | 33133 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871663278 | 2006-11-09 | 2014-01-11 | 7029 SW 61ST AVE, SOUTH MIAMI, FL, 331433420, US | 7029 SW 61ST AVE, SOUTH MIAMI, FL, 331433420, US | |||||||||||||||||||||||||
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| Phone | +1 305-666-2224 |
| Fax | 3056662297 |
Authorized person
| Name | DR. ALEJANDRO CHEDIAK |
| Role | MEDICAL DIRECTOR |
| Phone | 3056662224 |
Taxonomy
| Taxonomy Code | 207RS0012X - Sleep Medicine (Internal Medicine) Physician |
| License Number | 51163 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHEILD |
| Number | 04838A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MOAS, RAUL | Agent | 3659 S. MIAMI AVE., #5004, MIAMI, FL 33133 |
| Name | Role | Address |
|---|---|---|
| MOAS, RAUL | Director | 3659 S. MIAMI AVE. #5004, MIAMI, FL 33133 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1997-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 1996-05-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
