| Entity Name: | PROVIDENCE COMMUNITY MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PROVIDENCE COMMUNITY MEDICAL CENTER LLC 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: | 24 Nov 2014 (10 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 05 Oct 2015 (10 years ago) |
| Document Number: | L14000181359 |
| FEI/EIN Number |
81-4191712
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1736 E Commercial BLVD, FORT LAUDERDALE, FL, 33334, US |
| Mail Address: | 1736 E Commercial BLVD, Fort Lauderdale, FL, 33334, US |
| ZIP code: | 33334 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396288676 | 2016-11-18 | 2016-11-18 | 1736 E COMMERCIAL BLVD, OAKLAND PARK, FL, 333345721, US | 1736 E COMMERCIAL BLVD, OAKLAND PARK, FL, 333345721, US | |||||||||||||||
|
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| Phone | +1 954-267-9696 |
Authorized person
| Name | GUERLYNE DESIR |
| Role | VP |
| Phone | 9542679696 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Dorval HERBY | Manager | 15214 SW 52 STREET, MIRAMAR, FL, 33027 |
| Dorval HERBY | Chief Financial Officer | 15214 SW 52 STREET, MIRAMAR, FL, 33027 |
| DORVAL Herby | Auth | 1736 E Commercial BLVD, Fort Lauderdale, FL, 33334 |
| Dorval HERBY | Agent | 1736 E Commercial BLVD, Fort Lauderdale, FL, 33334 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-09-13 | 1736 E Commercial BLVD, FORT LAUDERDALE, FL 33334 | - |
| CHANGE OF MAILING ADDRESS | 2019-09-13 | 1736 E Commercial BLVD, FORT LAUDERDALE, FL 33334 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-09-13 | 1736 E Commercial BLVD, Fort Lauderdale, FL 33334 | - |
| REGISTERED AGENT NAME CHANGED | 2018-02-05 | Dorval, HERBY | - |
| LC AMENDMENT | 2015-10-05 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-04-30 |
| AMENDED ANNUAL REPORT | 2022-09-06 |
| AMENDED ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-03-17 |
| AMENDED ANNUAL REPORT | 2019-09-13 |
| ANNUAL REPORT | 2019-01-25 |
| ANNUAL REPORT | 2018-02-05 |
Date of last update: 03 May 2025
Sources: Florida Department of State
