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PALM PLAZA MEDICAL CENTER, LLC

Company Details

Entity Name: PALM PLAZA MEDICAL CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 29 Jun 2012 (13 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 25 Oct 2024 (3 months ago)
Document Number: L12000086337
FEI/EIN Number 46-0873965
Address: 2600 Douglas Rd, Suite 308, Coral Gables, FL 33134
Mail Address: 2600 Douglas Rd, Suite 308, Coral Gables, FL 33134
ZIP code: 33134
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699015701 2013-02-26 2013-02-26 2600 DOUGLAS RD, PH 7, CORAL GABLES, FL, 33134, US 16795 NW 67TH AVE, HIALEAH, FL, 330154201, US

Contacts

Phone +1 305-913-9444
Fax 3059139445
Phone +1 305-913-7300
Fax 3053629776

Authorized person

Name MR. PAUL PINO
Role CEO
Phone 3059139444

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role
CORPORATE CREATIONS NETWORK INC. Agent

Vice President

Name Role Address
LEAL, JUAN Vice President 2600 DOUGLAS RD STE 308, CORAL GABLES, FL 33134

Administrator

Name Role Address
LEAL, JUAN Administrator 2600 DOUGLAS RD STE 308, CORAL GABLES, FL 33134

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000022107 PALM MEDICAL CENTER MIAMI LAKES EXPIRED 2017-03-01 2022-12-31 No data 2600 DOUGLAS ROAD, SUITE PH-7, CORAL GABLES, FL, 33134

Events

Event Type Filed Date Value Description
LC AMENDMENT 2024-10-25 No data No data
REGISTERED AGENT ADDRESS CHANGED 2020-03-25 801 US HIGHWAY 1, NORTH PALM BEACH, FL 33408 No data
CHANGE OF PRINCIPAL ADDRESS 2018-01-23 2600 Douglas Rd, Suite 308, Coral Gables, FL 33134 No data
CHANGE OF MAILING ADDRESS 2018-01-23 2600 Douglas Rd, Suite 308, Coral Gables, FL 33134 No data
LC AMENDMENT 2012-12-06 No data No data

Documents

Name Date
LC Amendment 2024-10-25
ANNUAL REPORT 2024-04-04
AMENDED ANNUAL REPORT 2023-10-19
ANNUAL REPORT 2023-01-19
AMENDED ANNUAL REPORT 2022-03-31
ANNUAL REPORT 2022-01-04
ANNUAL REPORT 2021-01-14
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-02-08
ANNUAL REPORT 2018-01-23

Date of last update: 23 Jan 2025

Sources: Florida Department of State