| Entity Name: | EXTRA MEDICAL CLINIC INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Sep 1999 (25 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P99000082507 |
| FEI/EIN Number | 650954319 |
| Address: | 4160 W 16 AVE STE 502, HIALEAH, FL, 33016 |
| Mail Address: | 4160 W 16 AVE STE 502, HIALEAH, FL, 33016 |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144235094 | 2006-07-29 | 2020-08-22 | 717 PONCE DE LEON BLVD, SUITE 205, CORAL GABLES, FL, 331342060, US | 717 PONCE DE LEON BLVD, SUITE 205, CORAL GABLES, FL, 331342060, US | |||||||||||||||||
|
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| Phone | +1 305-441-5722 |
Authorized person
| Name | MRS. MAYRA V PEREZ |
| Role | OWNER, PRESIDENT |
| Phone | 3054415722 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| License Number | HCC4063 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ MAYRA V | Agent | 717 PONCE DE LEON BLVD, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| PEREZ MAYRA VMRS. | President | 1330 SW CORAL WAY STE #308, MIAMI, FL, 33130 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2015-07-27 | 4160 W 16 AVE STE 502, HIALEAH, FL 33016 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-07-27 | 4160 W 16 AVE STE 502, HIALEAH, FL 33016 | No data |
| AMENDMENT | 2014-10-01 | No data | No data |
| REINSTATEMENT | 2011-08-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-23 | 717 PONCE DE LEON BLVD, SUITE 228, CORAL GABLES, FL 33134 | No data |
| CANCEL ADM DISS/REV | 2005-12-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2003-03-24 | PEREZ, MAYRA V | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-30 |
| Amendment | 2014-10-01 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-30 |
| REINSTATEMENT | 2011-08-18 |
| ANNUAL REPORT | 2009-04-29 |
| ANNUAL REPORT | 2008-01-07 |
| ANNUAL REPORT | 2007-04-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
