| Entity Name: | RAFAEL A. PALMEROLA, MD, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
RAFAEL A. PALMEROLA, MD, P.A. 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: | 06 Jul 2000 (25 years ago) |
| Document Number: | P00000065402 |
| FEI/EIN Number |
651024456
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1575 SW 87 AVE, MIAMI, FL, 33174 |
| Mail Address: | 7875 Sw 66 St, MIAMI, FL, 33143, US |
| ZIP code: | 33174 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790715688 | 2006-07-04 | 2019-08-27 | 7875 SW 66TH ST, SOUTH MIAMI, FL, 331432712, US | 7875 SW 66TH ST, SOUTH MIAMI, FL, 331432712, US | |||||||||||||||||||||||||||||
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| Phone | +1 786-326-8608 |
Authorized person
| Name | EILEEN SUAREZ |
| Role | BILLING MANAGER |
| Phone | 7868439059 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | ME67254 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 377249700 |
| State | FL |
| Issuer | MEDICARE PTAN |
| Number | AK108 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PALMEROLA RAFAEL A | President | 1575 SW 87 AVENUE, MIAMI, FL, 33174 |
| PALMEROLA RAFAEL A | Director | 1575 SW 87 AVENUE, MIAMI, FL, 33174 |
| FLEITES SERGIO ACPA | Agent | 1575 SW 87 AVE, MIAMI, FL, 33174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-03-18 | 1575 SW 87 AVE, MIAMI, FL 33174 | - |
| REGISTERED AGENT NAME CHANGED | 2014-03-21 | FLEITES, SERGIO A, CPA | - |
| CHANGE OF PRINCIPAL ADDRESS | 2005-05-09 | 1575 SW 87 AVE, MIAMI, FL 33174 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2004-03-22 | 1575 SW 87 AVE, MIAMI, FL 33174 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-18 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-03-18 |
| ANNUAL REPORT | 2021-02-15 |
| ANNUAL REPORT | 2020-04-23 |
| ANNUAL REPORT | 2019-01-28 |
| ANNUAL REPORT | 2018-02-20 |
| ANNUAL REPORT | 2017-03-20 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-03-23 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
