| Entity Name: | PALM MEDICAL CENTER HIALEAH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Mar 2017 (8 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 25 Oct 2024 (3 months ago) |
| Document Number: | L17000069389 |
| FEI/EIN Number | 32-0548538 |
| Address: | 1401 EAST 4TH AVENUE., #104, HIALEAH, FL 33010 |
| Mail Address: | 2600 DOUGLAS ROAD, STE. 308, CORAL GABLES, FL 33134 |
| ZIP code: | 33010 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306347661 | 2018-02-22 | 2018-02-22 | 2600 S DOUGLAS RD STE 308, CORAL GABLES, FL, 331346134, US | 1401 E 4TH AVE STE 104, HIALEAH, FL, 330103504, US | |||||||||||||||
|
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| Phone | +1 305-913-9444 |
| Phone | +1 305-888-9000 |
Authorized person
| Name | MR. JUAN M ORTIZ |
| Role | CEO |
| Phone | 3059139444 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATE CREATIONS NETWORK INC. | Agent |
| Name | Role | Address |
|---|---|---|
| CHOUDHRY, FOWAD | Chief Executive Officer | 1401 EAST 4TH AVENUE., #104, HIALEAH, FL 33010 |
| Name | Role | Address |
|---|---|---|
| CASILLAS, PATRICIO | Chief Operating Officer | 1401 EAST 4TH AVENUE., #104, HIALEAH, FL 33010 |
| Name | Role | Address |
|---|---|---|
| LEAL, JUAN | Vice President | 1401 EAST 4TH AVENUE., #104, HIALEAH, FL 33010 |
| Name | Role | Address |
|---|---|---|
| LEAL, JUAN | Founder | 1401 EAST 4TH AVENUE., #104, HIALEAH, FL 33010 |
| Name | Role | Address |
|---|---|---|
| LEAL, JUAN | Executive Producer | 1401 EAST 4TH AVENUE., #104, HIALEAH, FL 33010 |
| Name | Role | Address |
|---|---|---|
| LEAL, JUAN | Administrator | 1401 EAST 4TH AVENUE., #104, HIALEAH, FL 33010 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-10-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-14 | 1401 EAST 4TH AVENUE., #104, HIALEAH, FL 33010 | 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 | 1401 EAST 4TH AVENUE., #104, HIALEAH, FL 33010 | No data |
| LC AMENDMENT | 2017-11-01 | No data | No data |
| LC NAME CHANGE | 2017-11-01 | PALM MEDICAL CENTER HIALEAH LLC | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-10-25 |
| ANNUAL REPORT | 2024-04-04 |
| AMENDED ANNUAL REPORT | 2023-10-16 |
| AMENDED ANNUAL REPORT | 2023-02-22 |
| 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 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
