| Entity Name: | EAST HOLLYWOOD MEDICAL ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 19 Jun 1989 (36 years ago) |
| Document Number: | K96223 |
| FEI/EIN Number | 65-0125703 |
| Address: | 3702 washington street, suite 205, HOLLYWOOD, FL 33021 |
| Mail Address: | 3702 Washington Street, suite 205, HOLLYWOOD, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174718704 | 2007-09-06 | 2024-08-23 | 3702 WASHINGTON ST STE 205, HOLLYWOOD, FL, 330218283, US | 3702 WASHINGTON ST STE 205, HOLLYWOOD, FL, 330218283, US | |||||||||||||||||||
|
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| Phone | +1 954-926-2900 |
| Fax | 9549262956 |
Authorized person
| Name | DR. MANUEL IRIBAR |
| Role | PRESIDENT |
| Phone | 9549262900 |
Taxonomy
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| License Number | ME0041495 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DIAZ, AMELIA | Agent | 3702 Washington Street., suite 205, HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| iribar, manuel | Director | 3702 washington street, suite 205 Hollywood, FL 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-01-24 | 3702 washington street, suite 205, HOLLYWOOD, FL 33021 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-24 | 3702 Washington Street., suite 205, HOLLYWOOD, FL 33021 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-04 | 3702 washington street, suite 205, HOLLYWOOD, FL 33021 | No data |
| REGISTERED AGENT NAME CHANGED | 1999-04-26 | DIAZ, AMELIA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-03-04 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-02-21 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-04-01 |
| ANNUAL REPORT | 2015-03-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
