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HISPANO MEDICAL CENTER, LLC

Company Details

Entity Name: HISPANO MEDICAL CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 24 Jul 2023 (2 years ago)
Document Number: L23000347975
FEI/EIN Number 93-2540593
Mail Address: 1200 BRICKELL AVENUE, SUITE 1950 #1090, MIAMI, FL 33131
Address: 3401 NW 7th Street, First Floor, Miami, FL 33125
ZIP code: 33125
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467298810 2024-07-05 2024-10-29 3401 NW 7TH ST, MIAMI, FL, 331254013, US 3401 NW 7TH ST, MIAMI, FL, 331254013, US

Contacts

Phone +1 305-708-7000

Authorized person

Name DR. MARSEL HAJYOUSEF
Role CEO
Phone 3057087000

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role
KAREN B. SCHAPIRA, PLLC Agent

Manager

Name Role
HISPANO MEDICAL HOLDINGS, INC. Manager

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-04 3401 NW 7th Street, First Floor, Miami, FL 33125 No data

Documents

Name Date
ANNUAL REPORT 2024-04-04
Florida Limited Liability 2023-07-24

Date of last update: 09 Feb 2025

Sources: Florida Department of State