| Entity Name: | PROFESSIONAL MEDICAL TRANSPORTATION CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Jan 1996 (29 years ago) |
| Date of dissolution: | 10 Jan 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISS W/ NOTICE |
| Event Date Filed: | 10 Jan 2019 (6 years ago) |
| Document Number: | P96000007586 |
| FEI/EIN Number | 650649176 |
| Address: | 7880 WEST 20 AVE, STE 28, HIALEAH, FL, 33016, US |
| Mail Address: | 7880 WEST 20 AVE, STE 28, HIALEAH, FL, 33016, US |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700033529 | 2008-08-22 | 2008-08-22 | 7880 W 20TH AVE, SUITE 28, HIALEAH, FL, 330161896, US | 7880 W 20TH AVE, SUITE 28, HIALEAH, FL, 330161896, US | |||||||||||||||||||||||
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| Phone | +1 305-825-8761 |
| Fax | 3058258762 |
Authorized person
| Name | MS. XIOMARA PAZOS |
| Role | ADMINISTRATOR |
| Phone | 3058258761 |
Taxonomy
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 410123500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PAZOS XIOMARA | Agent | 7880 WEST 20 AVE, HIALEAH, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| PAZOS XIOMARA | President | P. O. BOX 160338, HIALEAH, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| PAZOS XIOMARA | Treasurer | P. O. BOX 160338, HIALEAH, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| PAZOS XIOMARA | Vice President | P,O. BOX 160338, HIALEAH, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| PAZOS XIOMARA | Secretary | P,O. BOX 160338, HIALEAH, FL, 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISS W/ NOTICE | 2019-01-10 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-03-02 | 7880 WEST 20 AVE, 28, HIALEAH, FL 33016 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-05-20 | 7880 WEST 20 AVE, STE 28, HIALEAH, FL 33016 | No data |
| CHANGE OF MAILING ADDRESS | 2008-05-20 | 7880 WEST 20 AVE, STE 28, HIALEAH, FL 33016 | No data |
| AMENDMENT | 2004-04-21 | No data | No data |
| AMENDMENT | 2001-09-07 | No data | No data |
| NAME CHANGE AMENDMENT | 1996-10-07 | PROFESSIONAL MEDICAL TRANSPORTATION CORP. | No data |
| AMENDMENT | 1996-04-29 | No data | No data |
| Name | Date |
|---|---|
| CORAPVDWN | 2019-01-10 |
| ANNUAL REPORT | 2018-02-20 |
| ANNUAL REPORT | 2017-03-10 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-05-14 |
| ANNUAL REPORT | 2014-01-20 |
| ANNUAL REPORT | 2013-01-26 |
| ANNUAL REPORT | 2012-01-05 |
| ANNUAL REPORT | 2011-03-22 |
| ANNUAL REPORT | 2010-03-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
