| Entity Name: | MERCY SURGICAL & MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 Mar 1996 (29 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P96000025586 |
| FEI/EIN Number | 650653537 |
| Address: | 1840 W 49 STREET, SUITE: 227, HIALEAH, FL, 33012 |
| Mail Address: | 1840 W 49 STREET, SUITE: 227, HIALEAH, FL, 33012 |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710006812 | 2007-03-28 | 2020-08-22 | 948 E 25TH ST, HIALEAH, FL, 330133404, US | 948 E 25TH ST, HIALEAH, FL, 330133404, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 305-836-8299 |
| Fax | 3058368299 |
Authorized person
| Name | ERNESTO CARRALERO |
| Role | PRESIDENT |
| Phone | 3058368299 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | HCC2996 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA HEALTH CARE CLINIC |
| Number | HCC2996 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CARRALERO ERNESTO M | Agent | 1840 W 49 STREET, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| CARRALERO ERNESTO M | President | 1840 W 49 STREET - SUITE: 227, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| CARRALERO ERNESTO M | Secretary | 1840 W 49 STREET - SUITE: 227, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| CARRALERO ERNESTO M | Treasurer | 1840 W 49 STREET - SUITE: 227, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-05-15 | 1840 W 49 STREET, SUITE: 227, HIALEAH, FL 33012 | No data |
| CHANGE OF MAILING ADDRESS | 2009-05-15 | 1840 W 49 STREET, SUITE: 227, HIALEAH, FL 33012 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-05-15 | 1840 W 49 STREET, SUITE: 227, HIALEAH, FL 33012 | No data |
| REGISTERED AGENT NAME CHANGED | 2006-04-28 | CARRALERO, ERNESTO M | No data |
| AMENDMENT | 2000-04-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-05-15 |
| ANNUAL REPORT | 2008-03-06 |
| ANNUAL REPORT | 2007-10-06 |
| ANNUAL REPORT | 2007-04-28 |
| ANNUAL REPORT | 2006-04-28 |
| ANNUAL REPORT | 2005-04-28 |
| ANNUAL REPORT | 2004-04-28 |
| ANNUAL REPORT | 2003-04-28 |
| ANNUAL REPORT | 2002-05-06 |
| ANNUAL REPORT | 2001-05-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
