| Entity Name: | CENTRUM MEDICAL CENTER - WEST HIALEAH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 Aug 2019 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 09 Oct 2024 (3 months ago) |
| Document Number: | L19000193003 |
| FEI/EIN Number | N/A |
| Address: | 900 W 49th Street, Suite 101, Hialeah, FL 33012-3441 |
| Mail Address: | 900 W 49th Street, Suite 101, Hialeah, FL 33012-3441 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831776178 | 2021-03-24 | 2024-02-27 | 9250 NW 36TH ST STE 420, DORAL, FL, 331782775, US | 900 W 49TH ST STE 206, HIALEAH, FL, 330123441, US | |||||||||||||||||||
|
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| Phone | +1 305-266-2929 |
| Fax | 7865580242 |
Authorized person
| Name | ALEXIS AGREDA |
| Role | CFO |
| Phone | 3052662929 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Rodriquez- Duret, Rodolfo | Manager | 900 W 49th Street, Suite 101 Hialeah, FL 33012-3441 |
| Victorero, Graciela | Manager | 900 W 49th Street, Suite 101 Hialeah, FL 33012-3441 |
| Name | Role | Address |
|---|---|---|
| AGREDA, ALEXIS | Authorized Member | 9250 NW 36 ST., STE. 420, MIAMI, FL 33178 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-10-09 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-08 | 900 W 49th Street, Suite 101, Hialeah, FL 33012-3441 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-08 | 900 W 49th Street, Suite 101, Hialeah, FL 33012-3441 | No data |
| LC STMNT OF RA/RO CHG | 2021-12-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-12-01 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-12-01 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-10-09 |
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-04-29 |
| CORLCRACHG | 2021-12-01 |
| ANNUAL REPORT | 2021-04-28 |
| AMENDED ANNUAL REPORT | 2020-02-26 |
| AMENDED ANNUAL REPORT | 2020-02-24 |
| ANNUAL REPORT | 2020-02-19 |
| Florida Limited Liability | 2019-08-06 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
