| Entity Name: | SILVER LAKES URGENT TREATMENT & WALK-IN CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Mar 1998 (27 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P98000028104 |
| FEI/EIN Number | 650838308 |
| Address: | 17901 N.W. 5TH STREET, STE 101, PEMBROKE PINES, FL, 33029, US |
| Mail Address: | 17901 N.W. 5TH STREET, STE 101, PEMBROKE PINES, FL, 33029, US |
| ZIP code: | 33029 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245253426 | 2006-07-26 | 2022-07-21 | 17901 NW 5TH ST, SUITE 101, PEMBROKE PINES, FL, 330292810, US | 17901 NW 5TH ST, SUITE 101, PEMBROKE PINES, FL, 330292810, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 954-442-8380 |
| Fax | 9544428661 |
Authorized person
| Name | AUSBERTO B HIDALGO |
| Role | PRESIDENT |
| Phone | 9544428380 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 263057505 |
| State | FL |
| Issuer | MEDICAID |
| Number | 263057500 |
| State | FL |
| Issuer | MEDICAID |
| Number | 263057506 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HIDALGO AUSBERTO M | Agent | 17901 N.W. 5TH STREET., STE 101, PEMBROKE PINES, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| HIDALGO AUSBERTO M | President | 17901 N.W. 5TH STREET., STE 101, PEMBROKE PINES, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| HIDALGO AUSBERTO M | Secretary | 17901 N.W. 5TH STREET., STE 101, PEMBROKE PINES, FL, 33029 |
| Name | Role | Address |
|---|---|---|
| CASTILLO-PLAZA JUAN M | Vice President | 17901 N.W. 5TH STREET., STE 101, PEMBROKE PINES, FL, 33029 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REINSTATEMENT | 2011-03-30 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-30 | 17901 N.W. 5TH STREET, STE 101, PEMBROKE PINES, FL 33029 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-03-19 | 17901 N.W. 5TH STREET, STE 101, PEMBROKE PINES, FL 33029 | No data |
| REINSTATEMENT | 2003-12-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2002-05-17 | HIDALGO, AUSBERTO MD | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2000-08-29 | 17901 N.W. 5TH STREET., STE 101, PEMBROKE PINES, FL 33029 | No data |
| NAME CHANGE AMENDMENT | 1998-10-09 | SILVER LAKES URGENT TREATMENT & WALK-IN CENTER, INC. | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J15000281267 | LAPSED | 13-027230 CA 10 | ELEVENTH JUDICIAL CIRCUIT DADE | 2015-02-17 | 2020-02-20 | $59,301.26 | OCEAN BANK, 780 NW 42 STREET, SUITE 300, MIAMI, FL 33126 |
| J13001521179 | LAPSED | CACE-13-021758 | BROWARD COUNTY CIRCUIT COURT | 2011-09-30 | 2018-10-07 | $16,709.98 | CANON FINANCIAL SERVICES, INC., 158 GAITHER DR., SUITE 200, MOUNT LAUREL, NJ 08054 |
| J11000593918 | LAPSED | 11-002606 COSO 61 | BROWARD COUNTY COURT | 2011-07-14 | 2016-09-15 | $3,193.19 | PSS WORLD MEDICAL, INC., 301 GILLS DRIVE, 200, ORLANDO, FL 32824 |
| J11000295845 | LAPSED | 10-003043 | BROWARD CIRCUIT | 2011-04-11 | 2016-05-13 | $121,026.38 | SOVEREIGN BANK, 3 HUNTINGTON QUADRANGLE, SUITE 101N, MELVILLE, NEW YORK 11747 |
| J11000002837 | LAPSED | 10-04717 CC 26 3 | MIAMI-DADE COUNTY | 2010-12-13 | 2016-01-05 | $14,106.32 | HIALEAH ITALIAN TILE, INC., 209 WEST 21 STREET, HIALEAH, FL 33010 |
| J10001083036 | LAPSED | 10-51622-CA-15 | CIR. CIV. DIV. DADE CTY. FL | 2010-07-20 | 2015-12-02 | $195,674.66 | LYON FINANCIAL SERVICES, INC., 1310 MADRID STREET, SUITE 100, MARSHALL, MN 56258 |
| J10000805595 | LAPSED | 08-40313 CACE 13 | CIR. CT. 17TH JUD. BROWARD FL | 2010-02-16 | 2015-07-30 | $78,827.58 | BELLSOUTH ADVERTISING & PUBLISHING CORPORATION, 2247 NORTHLAKE PARKWAY, SUITE 3C, TUCKER, GA 30084 |
| J09001078152 | LAPSED | CACE 08-62906(11) | 17TH JUD. CIR. BROWARD CTY. | 2009-03-02 | 2014-04-06 | $126,303.36 | EMERGENCY CARE OF SOUTH FLORIDA, LLC, AND RUDDY VALDES, CO, 15253 SW 40TH STREET, DAVIE, FL 33321 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-26 |
| ANNUAL REPORT | 2012-04-27 |
| REINSTATEMENT | 2011-03-30 |
| ANNUAL REPORT | 2009-04-27 |
| ANNUAL REPORT | 2008-03-19 |
| ANNUAL REPORT | 2007-01-04 |
| ANNUAL REPORT | 2006-06-30 |
| ANNUAL REPORT | 2005-07-01 |
| ANNUAL REPORT | 2004-04-28 |
| REINSTATEMENT | 2003-12-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
