| Entity Name: | FIRST RESPONSE MEDICAL CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 08 Jun 1998 (27 years ago) |
| Date of dissolution: | 05 Apr 2007 (18 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 05 Apr 2007 (18 years ago) |
| Document Number: | P98000054750 |
| FEI/EIN Number | 65-0843852 |
| Address: | 10240 SW 56 ST, SUITE 112C, MIAMI, FL 33165 |
| Mail Address: | 10240 SW 56 ST, SUITE 112C, MIAMI, FL 33165 |
| ZIP code: | 33165 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760485940 | 2005-05-23 | 2020-08-22 | 10240 SW 56TH ST, STE 112C, MIAMI, FL, 331657070, US | 10240 SW 56TH ST, STE 112C, MIAMI, FL, 331657070, US | |||||||||||||||||||||||||||||||
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| Phone | +1 305-412-9393 |
| Fax | 3054129394 |
Authorized person
| Name | MARISSA GONZALEZ |
| Role | OFFICE MANAGER |
| Phone | 3054129393 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 01875 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AMERIGROUP PROVIDER |
| Number | 211769 |
| State | FL |
| Issuer | BLUE CROSS PROVIDER |
| Number | R8891 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, SHERRI | Agent | 10240 SW 56 ST, SUITE 112C, MIAMI, FL 33165 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, SHERRI | President | 10311 SW 43RD ST, MIAMI, FL 33165 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, SHERRI | Secretary | 10311 SW 43RD ST, MIAMI, FL 33165 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, SHERRI | Treasurer | 10311 SW 43RD ST, MIAMI, FL 33165 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ, SHERRI | Director | 10311 SW 43RD ST, MIAMI, FL 33165 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2007-04-05 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-01-08 | 10240 SW 56 ST, SUITE 112C, MIAMI, FL 33165 | No data |
| CHANGE OF MAILING ADDRESS | 2007-01-08 | 10240 SW 56 ST, SUITE 112C, MIAMI, FL 33165 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-01-08 | 10240 SW 56 ST, SUITE 112C, MIAMI, FL 33165 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2007-04-05 |
| ANNUAL REPORT | 2007-01-08 |
| ANNUAL REPORT | 2006-01-06 |
| ANNUAL REPORT | 2005-01-10 |
| ANNUAL REPORT | 2004-02-16 |
| ANNUAL REPORT | 2003-01-31 |
| ANNUAL REPORT | 2002-03-03 |
| ANNUAL REPORT | 2001-01-29 |
| ANNUAL REPORT | 2000-03-20 |
| ANNUAL REPORT | 1999-03-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
