| Entity Name: | CMLA MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 May 2024 (9 months ago) |
| Document Number: | L24000225857 |
| FEI/EIN Number | 99-3152663 |
| Address: | 1217 S Military Trail Ste C, West, FL 33415 |
| Mail Address: | 1217 S Military Trail Ste C, West, FL 33415 |
| ZIP code: | 33415 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114757044 | 2024-08-05 | 2024-09-14 | 1217 S MILITARY TRL STE C, WEST PALM BEACH, FL, 334154600, US | 1217 S MILITARY TRL STE C, WEST PALM BEACH, FL, 334154600, US | |||||||||||||
|
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| Phone | +1 561-342-5000 |
Authorized person
| Name | RICARDO A MARTINEZ |
| Role | MANAGER |
| Phone | 7864239423 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTINEZ R, ICARDO A | Agent | 12960 N CALUSA CLUB DRIVE, MIAMI, FL 33186 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ, RICARDO A | Chief Executive Officer | 12960 N CALUSA CLUB DRIVE, MIAMI, FL 33186 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000085725 | CENTRO MEDICO LATINO | ACTIVE | 2024-07-17 | 2029-12-31 | No data | 1217 S MILITARY TRAIL SUITE C, WEST PALM BEACH, FL, 33415 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-06 | 1217 S Military Trail Ste C, West, FL 33415 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-06 | 1217 S Military Trail Ste C, West, FL 33415 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-05-15 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
