XTREME MEDICAL CENTER ,CORP
Hospitals at 42 St, Miami, FL

License number
Florida MA58827
Category
Hospitals
Type
Rehabilitation Hospital
Owner
Name: MISS YANELYS FUNDORA LMT
Title: PRESIDENT
Phone: (305) 229-1589
Address
Address
12809 SW 42Nd St, Miami, FL 33175
National Provider ID: 1912290131
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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XTREME MEDICAL CENTER CORP

Miami, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
May 12, 2011
Inactive since:
Sep 26, 2014
Addresses:
12809 SW 42, Miami, FL 33175 (Physical)
12809 SW 42 St, Miami, FL 33175
State ID:
P11000045973
Business type:
Florida Profit Corporation
Director, President:
Yanelys Fundora Director, President, inactive, 12809 SW 42, Miami, FL 33175 (Physical)
Agent:
Fundora, Yanelys,12809 SW 42, Miami, FL 33175 (Physical)
EIN:
452240707

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