Entity Name: | SLEEP-WAKE DISORDERS CENTER OF SOUTH FLORIDA, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 12 Aug 1997 (27 years ago) |
Document Number: | P97000069619 |
FEI/EIN Number | 650773498 |
Address: | 7325 SW 63 AVE, STE 203, MIAMI, FL, 33143, US |
Mail Address: | 7325 SW 63 AVE, STE 203, MIAMI, FL, 33143, US |
ZIP code: | 33143 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1487636767 | 2005-11-14 | 2020-08-22 | 6356 MANOR LN, SUITE 102, SOUTH MIAMI, FL, 331434960, US | 7325 SW 63RD AVE, SUITE 203, SOUTH MIAMI, FL, 331434811, US | |||||||||||||||||||
|
Phone | +1 305-661-5994 |
Fax | 3056619779 |
Authorized person
Name | ROBERT B SCHADER |
Role | PRESIDENT |
Phone | 3056615994 |
Taxonomy
Taxonomy Code | 261QS1200X - Sleep Disorder Diagnostic Clinic/Center |
License Number | HCCR661 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
HOFRICHTER ALEX | Agent | DATRAN 2, MIAMI, FL, 33156 |
Name | Role | Address |
---|---|---|
SCHADER ROBERT B | Director | 7325 SW 63 AVE STE 203, MIAMI, FL, 33143 |
SEIDEN DAVID J | Director | 7325 SW 63 AVE STE 203, MIAMI, FL, 33143 |
Name | Role | Address |
---|---|---|
SCHADER ROBERT B | President | 7325 SW 63 AVE STE 203, MIAMI, FL, 33143 |
Name | Role | Address |
---|---|---|
SEIDEN DAVID J | Vice President | 7325 SW 63 AVE STE 203, MIAMI, FL, 33143 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
AMENDMENT AND NAME CHANGE | 1999-03-19 | SLEEP-WAKE DISORDERS CENTER OF SOUTH FLORIDA, INC. | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State