| Entity Name: | COMBINED HEALTH SERVICES CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Apr 1998 (27 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P98000038419 |
| FEI/EIN Number | 650842463 |
| Address: | 6500 WEST 4 AVENUE, HIALEAH, FL, 33012 |
| Mail Address: | 3128 CORAL WAY, MIAMI, FL, 33145 |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023101466 | 2006-09-30 | 2011-06-07 | 6500 W 4TH AVE, HIALEAH, FL, 330126606, US | 6500 W 4TH AVE, HIALEAH, FL, 330126606, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-557-3151 |
| Fax | 3055578239 |
Authorized person
| Name | ALFREDO MORENO |
| Role | OWNER |
| Phone | 3055573151 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH16505 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 021852901 |
| State | FL |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1035573 |
| Issuer | MEDICAID |
| Number | 021852900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DIAZ FRANK L | Agent | 3128 CORAL WAY, MIAMI, FL, 331453210 |
| Name | Role | Address |
|---|---|---|
| MORENO ALFREDO C | President | 6500 W 4 AVE, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| MORENO ALFREDO C | Director | 6500 W 4 AVE, HIALEAH, FL, 33012 |
| Name | Role | Address |
|---|---|---|
| MORENO BELKIS | Secretary | 6500 W 4 AVE, HIALEAH, FL, 33012 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G99064900117 | UNIVERSAL ARTS PHARMACY | EXPIRED | 1999-03-05 | 2024-12-31 | No data | 6500 WEST 4TH AVE., HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2021-05-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-04-13 | DIAZ, FRANK L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-17 | 3128 CORAL WAY, MIAMI, FL 33145-3210 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-17 | 6500 WEST 4 AVENUE, HIALEAH, FL 33012 | No data |
| AMENDMENT | 2003-07-30 | No data | No data |
| AMENDMENT | 1999-10-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1999-09-22 | 6500 WEST 4 AVENUE, HIALEAH, FL 33012 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000596982 | LAPSED | 13-001606-CA-02 | DADE COUNTY | 2011-02-09 | 2019-11-03 | $119,141.65 | AMERICORP FINANCIAL, L.L.C., 877 SOUTH ADAMS ROAD, BIRMINGHAM, MI 48009 |
| Name | Date |
|---|---|
| REINSTATEMENT | 2021-05-03 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-04-13 |
| ANNUAL REPORT | 2015-04-20 |
| ANNUAL REPORT | 2014-04-10 |
| ANNUAL REPORT | 2013-04-03 |
| ANNUAL REPORT | 2012-04-26 |
| ANNUAL REPORT | 2011-04-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
