| Entity Name: | PRIME HEALTH MEDICAL CENTER, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PRIME HEALTH MEDICAL CENTER, L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 23 Mar 2001 (24 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 22 Nov 2002 (22 years ago) |
| Document Number: | L01000004473 |
| FEI/EIN Number |
651086174
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 4724 MONROE STREET, HOLLYWOOD, FL, 33021 |
| Address: | 280 nw 183rd street, MIAMI GARDENS, FL, 33169, US |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750302626 | 2006-07-23 | 2008-10-06 | 4724 MONROE STREET, HOLLYWOOD, FL, 33021, US | 18250 NW 2ND AVENUE, SUITE 202, MIAMI GARDENS, FL, 33169, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 305-981-4700 |
| Fax | 3059812600 |
| Phone | +1 786-280-6474 |
| Fax | 3052490072 |
Authorized person
| Name | ANITE M LUBIN |
| Role | PRESIDENT |
| Phone | 3059814700 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME0078304 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME0071876 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 253658700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LUBIN ANITE | Managing Member | 4724 MONROE STREET, HOLLYWOOD, FL, 33021 |
| COEL MARK A | Agent | ONE LINCOLN PLACE, BOCA RATON, FL, 334310000 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-22 | 280 nw 183rd street, MIAMI GARDENS, FL 33169 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2005-09-16 | ONE LINCOLN PLACE, 1900 GLADES ROAD,SUITE 350, BOCA RATON, FL 33431-0000 | - |
| CHANGE OF MAILING ADDRESS | 2004-08-09 | 280 nw 183rd street, MIAMI GARDENS, FL 33169 | - |
| REINSTATEMENT | 2002-11-22 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2002-10-04 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-10 |
| ANNUAL REPORT | 2023-02-25 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-21 |
| ANNUAL REPORT | 2020-02-14 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-02-22 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-02-11 |
| ANNUAL REPORT | 2015-01-19 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
