| Entity Name: | PALM MEDICAL CENTER HOSPITALIST GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Apr 2018 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 25 Oct 2024 (3 months ago) |
| Document Number: | L18000100209 |
| FEI/EIN Number | 32-0567070 |
| Address: | 2600 DOUGLAS ROAD, SUITE 308, CORAL GABLES, FL, 33134, US |
| Mail Address: | 2600 DOUGLAS ROAD, SUITE 308, CORAL GABLES, FL, 33134, US |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174017362 | 2018-06-20 | 2023-03-22 | 2600 S DOUGLAS RD STE 308, CORAL GABLES, FL, 331346134, US | 2600 S DOUGLAS RD STE 308, CORAL GABLES, FL, 331346134, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 305-913-9441 |
Authorized person
| Name | SANTIAGO MOISES MARTIN |
| Role | PRESIDENT OF CENTER OPERATIONS |
| Phone | 3059139441 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATE CREATIONS NETWORK INC. | Agent |
| Name | Role | Address |
|---|---|---|
| CHOUDHRY FOWAD | Chief Executive Officer | 2600 DOUGLAS ROAD, SUITE 308, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| CASILLAS PATRICIO | Chief Operating Officer | 2600 DOUGLAS ROAD, SUITE 308, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| LEAL JUAN | Vice President | 2600 DOUGLAS ROAD, SUITE 308, CORAL GABLES, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| LEAL JUAN | Founder | 2600 DOUGLAS ROAD, SUITE 308, CORAL GABLES, FL, 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-10-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-19 | 2600 DOUGLAS ROAD, SUITE 308, CORAL GABLES, FL 33134 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-14 | 2600 DOUGLAS ROAD, SUITE 308, CORAL GABLES, FL 33134 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-25 | 801 US HIGHWAY 1, NORTH PALM BEACH, FL 33408 | No data |
| 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 |
| Florida Limited Liability | 2018-04-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
