| Entity Name: | VITAL MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
VITAL MEDICAL CENTER, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 26 Oct 1989 (35 years ago) |
| Document Number: | L25794 |
| FEI/EIN Number |
650170774
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8300 WEST FLAGLER STREET., 175, MIAMI, FL, 33144 |
| Mail Address: | 8300 WEST FLAGLER STREET., 175, MIAMI, FL, 33144 |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457314064 | 2006-04-07 | 2017-03-29 | 8300 W FLAGLER ST, SUITE #175, MIAMI, FL, 331446000, US | 8300 WEST FLASLER STREET, SUITE #175, MIAMI, FL, 331442098, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 305-220-0300 |
| Fax | 3052201472 |
Authorized person
| Name | FERNANDO JOSE LORA |
| Role | MD |
| Phone | 3052200300 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | ME0045837 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA |
| Number | 0125792 |
| Issuer | MEDICAID |
| Number | 042148100 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 96904 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LORA FERNANDO M | President | 8300 W. FLAGLER ST. #175, MIAMI, FL |
| LORA FERNANDO M | Treasurer | 8300 W. FLAGLER ST. #175, MIAMI, FL |
| LORA FERNANDO M | Director | 8300 W. FLAGLER ST. #175, MIAMI, FL |
| LORA ERICK | Agent | 8300 W. FLAGLER ST., MIAMI, FL, 33144 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-16 | 8300 WEST FLAGLER STREET., 175, MIAMI, FL 33144 | - |
| CHANGE OF MAILING ADDRESS | 2012-04-16 | 8300 WEST FLAGLER STREET., 175, MIAMI, FL 33144 | - |
| REGISTERED AGENT NAME CHANGED | 2009-04-30 | LORA, ERICK | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
