| Entity Name: | MNH SURGICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 02 Jan 1998 (27 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: | P98000000302 |
| FEI/EIN Number | 59-3491729 |
| Address: | 1101 N MAITLAND AVE, MAITLAND, FL 32751 |
| Mail Address: | 1101 N MAITLAND AVE, MAITLAND, FL 32751 |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700887643 | 2005-08-02 | 2020-08-22 | 1101 N MAITLAND AVE, STE 2, MAITLAND, FL, 327514346, US | 1101 N MAITLAND AVE, STE 2, MAITLAND, FL, 327514346, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-644-4222 |
| Fax | 4076445073 |
Authorized person
| Name | NADIA A HILAL |
| Role | ADMINISTRATOR |
| Phone | 4076444222 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1072 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 67T |
| Issuer | AETNA |
| Number | 5523701 |
| Issuer | WELLCARE HEALTH PLAN |
| Number | 25825 |
| Issuer | FIRST HEALTH |
| Number | 117543 |
| Issuer | HEALTHEASE |
| Number | 25825 |
| Issuer | UNITED HEALTH CARE |
| Number | 6800745 |
| Issuer | PHP |
| Number | 1027426 |
| Issuer | FOUNDATION HEALTH |
| Number | 49504 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | 49004489 |
| Name | Role | Address |
|---|---|---|
| HILAL, TALAL E | Agent | 1101 N MAITLAND AVE, MAITLAND, FL 32751 |
| Name | Role | Address |
|---|---|---|
| HILAL, TALAL EMD | President | 1101 N MAITLAND AVE, MAITLAND, FL 32751 |
| Name | Role | Address |
|---|---|---|
| HILAL, NADIA A | Secretary | 1101, MAITLAND AVE MAITLAND, FL 32751 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-03-17 | 1101 N MAITLAND AVE, MAITLAND, FL 32751 | No data |
| CHANGE OF MAILING ADDRESS | 2008-03-17 | 1101 N MAITLAND AVE, MAITLAND, FL 32751 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2010-06-17 |
| ANNUAL REPORT | 2009-03-04 |
| ANNUAL REPORT | 2008-03-17 |
| ANNUAL REPORT | 2007-02-16 |
| ANNUAL REPORT | 2006-01-10 |
| ANNUAL REPORT | 2005-03-05 |
| ANNUAL REPORT | 2004-03-17 |
| ANNUAL REPORT | 2003-02-24 |
| ANNUAL REPORT | 2002-04-01 |
| ANNUAL REPORT | 2001-03-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
