| Entity Name: | ALVIJA MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Mar 1996 (29 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P96000025879 |
| FEI/EIN Number | 650651819 |
| Address: | 3472 FOREST HILL BLVD., 2C, WEST PALM BEACH, FL, 33406 |
| Mail Address: | 3472 FOREST HILL BLVD., 2C, WEST PALM BEACH, FL, 33406 |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841276227 | 2005-12-19 | 2020-08-22 | 3472 FOREST HILL BLVD, WEST PALM BEACH, FL, 334065864, US | 3472 FOREST HILL BLVD, WEST PALM BEACH, FL, 334065864, US | |||||||||||||||||||||
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| Phone | +1 561-433-8900 |
| Fax | 5615614334 |
Authorized person
| Name | DR. ALBERTO VILLA |
| Role | PRESIDENT |
| Phone | 5614338900 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FL. MEDICAL LICENSE |
| Number | ME 40251 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| VILLA ANA M | Agent | 1794 TROTTER CT, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| VILLA ANA M | President | 3472 FOREST HILL BLVD #2, WEST PALM BEACH, FL, 33406 |
| Name | Role | Address |
|---|---|---|
| VILLA ANA M | Secretary | 3472 FOREST HILL BLVD #2, WEST PALM BEACH, FL, 33406 |
| Name | Role | Address |
|---|---|---|
| VILLA ANA M | Treasurer | 3472 FOREST HILL BLVD #2, WEST PALM BEACH, FL, 33406 |
| Name | Role | Address |
|---|---|---|
| VILLA ALBERTO M | Vice President | 3472 FOREST HILL BLVD, STE 2C, WEST PALM BEACH, FL, 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-01-08 | 3472 FOREST HILL BLVD., 2C, WEST PALM BEACH, FL 33406 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-01-08 | VILLA, ANA M | No data |
| AMENDMENT AND NAME CHANGE | 2005-04-06 | ALVIJA MEDICAL CENTER, INC. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-03-03 | 3472 FOREST HILL BLVD., 2C, WEST PALM BEACH, FL 33406 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2001-03-01 | 1794 TROTTER CT, WELLINGTON, FL 33414 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-01-08 |
| ANNUAL REPORT | 2009-03-25 |
| ANNUAL REPORT | 2008-01-09 |
| ANNUAL REPORT | 2007-01-12 |
| ANNUAL REPORT | 2006-01-06 |
| Amendment and Name Change | 2005-04-06 |
| ANNUAL REPORT | 2005-03-03 |
| ANNUAL REPORT | 2004-07-02 |
| ANNUAL REPORT | 2003-01-08 |
| ANNUAL REPORT | 2002-02-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
