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PROVIDENCE MEDICAL CENTER INC. - Florida Company Profile

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Company Details

Entity Name: PROVIDENCE MEDICAL CENTER INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 06 Mar 2001 (24 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 03 May 2022 (3 years ago)
Document Number: P01000023601
FEI/EIN Number 651084702
Address: 2500 SW 107 Ave, Miami, FL, 33165, US
Mail Address: 13111 SW 82 Terrace, MIAMI, FL, 33183, US
ZIP code: 33165
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
QUINTANA FRANCISCO X President 13111 SW 82ND TERRACE, MIAMI, FL, 33183
MARENCO ANGELA P Vice President 13111 SW 82 TERRACE, MIAMI, FL, 33183
QUINTANA FRANCISCO Agent 2500 SW 107 Ave, Miami, FL, 33165

National Provider Identifier

NPI Number:
1053320382

Authorized Person:

Name:
FRANCISCO D GUERRA-MORALES
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3052205002

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-05-03 QUINTANA, FRANCISCO -
CHANGE OF MAILING ADDRESS 2022-05-03 2500 SW 107 Ave, Suite 29, Miami, FL 33165 -
REINSTATEMENT 2022-05-03 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 - -
REGISTERED AGENT ADDRESS CHANGED 2020-10-26 2500 SW 107 Ave, Suite 29, Miami, FL 33165 -
AMENDMENT 2020-10-26 - -
AMENDMENT 2017-12-14 - -
CHANGE OF PRINCIPAL ADDRESS 2017-01-16 2500 SW 107 Ave, Suite 29, Miami, FL 33165 -
REINSTATEMENT 2012-11-29 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2012-09-28 - -

Documents

Name Date
ANNUAL REPORT 2025-01-10
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-03-24
REINSTATEMENT 2022-05-03
Amendment 2020-10-26
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-04-27
ANNUAL REPORT 2018-03-02
Amendment 2017-12-14
ANNUAL REPORT 2017-01-16

USAspending Awards / Financial Assistance

Date:
2020-07-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
13017.00
Total Face Value Of Loan:
13017.00
Date:
2020-07-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
20000.00
Total Face Value Of Loan:
20000.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$13,017
Date Approved:
2020-07-29
Loan Status:
Charged Off
SBA Guaranty Percentage:
100
Current Approval Amount:
$13,017
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $7,988
Utilities: $357
Mortgage Interest: $0
Rent: $4,672
Refinance EIDL: $0
Healthcare: $0
Debt Interest: $0

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Date of last update: 01 Jul 2025

Sources: Florida Department of State