| Entity Name: | KIBA MEDICAL CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Oct 1991 (33 years ago) |
| Document Number: | S83912 |
| FEI/EIN Number | 650287347 |
| Address: | 7815 CORAL WAY, STE #105, MIAMI, FL, 33155, US |
| Mail Address: | 7815 CORAL WAY, STE #105, MIAMI, FL, 33155, US |
| ZIP code: | 33155 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285784363 | 2007-01-11 | 2008-06-18 | 7815 CORAL WAY, STE103, MIAMI, FL, 331556541, US | 7815 CORAL WAY, STE103, MIAMI, FL, 331556541, US | |||||||||||||||||||
|
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| Phone | +1 305-261-8010 |
| Fax | 3052629418 |
Authorized person
| Name | MRS. CARMEN VAZQUEZ |
| Role | OWNER |
| Phone | 3052618010 |
Taxonomy
| Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
| License Number | HCC4072 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VAZQUEZ CARMEN | Agent | 7815 CORAL WAY, SUITE 5, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| VAZQUEZ CARMEN | President | 7815 CORAL WAY, SUITE 105, MIAMI, FL, 33155 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REINSTATEMENT | 1992-11-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1992-10-09 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14000230069 | LAPSED | 12-20267 CA 25 | 11TH JUDICIAL CIRCUIT | 2014-01-29 | 2019-02-28 | $100,848.52 | JP MORGAN CHASE BANK N.A., ESTHER BULLOCK, ASST VP, P.O. BOX 29550, PHOENIX, AZ, 85038 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
