| Entity Name: | FIRST PRIME MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
FIRST PRIME 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 29 Mar 2001 (24 years ago) |
| Date of dissolution: | 20 Oct 2011 (13 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Oct 2011 (13 years ago) |
| Document Number: | P01000032174 |
| FEI/EIN Number |
651090612
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6405 NW 36 ST, SUITE 113, VIRGINIA GARDEN, FL, 33166 |
| Mail Address: | 6405 NW 36 ST, SUITE 113, VIRGINIA GARDEN, FL, 33166 |
| ZIP code: | 33166 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508854621 | 2005-10-12 | 2009-02-11 | 6405 NW 36TH ST STE 113, VIRGINIA GARDENS, FL, 331666977, US | 6405 NW 36TH ST STE 113, VIRGINIA GARDENS, FL, 331666977, US | |||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 305-870-9393 |
| Fax | 3058709373 |
Authorized person
| Name | MADELYN RODRIGUEZ |
| Role | PRESIDENT |
| Phone | 3058709393 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336H0001X - Home Infusion Therapy Pharmacy |
| License Number | PH23631 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 1042148 |
| Issuer | MEDICAID |
| Number | 026244700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ MADELYN | President | 6405NW 36ST SUITE 113, VIRGINIA GARDENS, FL, 33166 |
| RODRIGUEZ MADELYN | Director | 6405NW 36ST SUITE 113, VIRGINIA GARDENS, FL, 33166 |
| MARTINEZ LESTER | Vice President | 6405 NW 36 ST SUITE 113, VIRGINIA GARDEN, FL, 33166 |
| RODRIGUEZ MADELYN | Agent | 6405 NW 36 ST, VIRGINIA GARDEN, FL, 33166 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08135900017 | INFUMED | EXPIRED | 2008-05-14 | 2013-12-31 | - | 6405 NW 36TH STREET, STE 113, VIRGINIA GARDENS, FL, 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2011-10-20 | - | - |
| AMENDMENT | 2004-07-30 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2004-03-17 | 6405 NW 36 ST, SUITE 113, VIRGINIA GARDEN, FL 33166 | - |
| CHANGE OF MAILING ADDRESS | 2004-03-17 | 6405 NW 36 ST, SUITE 113, VIRGINIA GARDEN, FL 33166 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2004-03-17 | 6405 NW 36 ST, SUITE 113, VIRGINIA GARDEN, FL 33166 | - |
| NAME CHANGE AMENDMENT | 2002-11-14 | FIRST PRIME MEDICAL CENTER, INC. | - |
| NAME CHANGE AMENDMENT | 2002-07-11 | COCONUT CHILD CARE, INC. | - |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2011-10-20 |
| ANNUAL REPORT | 2011-04-01 |
| ANNUAL REPORT | 2010-02-05 |
| ANNUAL REPORT | 2009-01-19 |
| ANNUAL REPORT | 2008-02-25 |
| ANNUAL REPORT | 2007-01-07 |
| ANNUAL REPORT | 2006-01-05 |
| ANNUAL REPORT | 2005-01-10 |
| Amendment | 2004-07-30 |
| ANNUAL REPORT | 2004-03-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
