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PLAZA MEDICAL CENTERS, CORP.

Company Details

Entity Name: PLAZA MEDICAL CENTERS, CORP.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 19 Nov 1980 (44 years ago)
Document Number: F06175
FEI/EIN Number 592042126
Mail Address: 5025 collins ave, 2409, MIAMI, FL, 33140, US
Address: 11211 SW 152ND STREET, MIAMI, FL, 33157, US
ZIP code: 33157
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992757140 2006-05-16 2021-03-02 11211 SW 152ND ST, MIAMI, FL, 331571101, US 11211 SW 152ND ST, MIAMI, FL, 331571101, US

Contacts

Phone +1 305-255-1355
Fax 3052552015

Authorized person

Name SPENCER ANGEL
Role PRESIDENT
Phone 3052551355

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PLAZA MEDICAL CENTERS 401(K) PLAN 2023 592042126 2024-07-23 PLAZA MEDICAL CENTERS, CORP. 121
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621111
Sponsor’s telephone number 3052551355
Plan sponsor’s address 11211 SW 152ND STREET, MIAMI, FL, 33157

Signature of

Role Plan administrator
Date 2024-07-23
Name of individual signing CHRIS HORNE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ANGEL SPENCER Agent 11211 SW 152ND STREET, MIAMI, FL, 33157

President

Name Role Address
ANGEL SPENCER President 5025 Collins Ave., 2409, MIAMI beach, FL, 33140

Director

Name Role Address
ANGEL SPENCER Director 5025 Collins Ave., 2409, MIAMI beach, FL, 33140

Vice President

Name Role Address
CAVANAUGH MICHAEL Vice President 6975 SW 94th St, Pinecrest, FL, 33156

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000049684 PMC PLAZA ACTIVE 2016-05-17 2027-12-31 No data 11211 SW 152ND ST., MIAMI, FL, 33157
G16000049700 PLAZA MEDICAL ACTIVE 2016-05-17 2027-12-31 No data 11211 SW 152ND ST., MIAMI-DADE, FL, 33157

Events

Event Type Filed Date Value Description
REINSTATEMENT 2019-10-11 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
NAME CHANGE AMENDMENT 2005-09-30 PLAZA MEDICAL CENTERS, CORP. No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State