| Entity Name: | PALM MEDICAL CENTERS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Apr 2002 (23 years ago) |
| Date of dissolution: | 19 Sep 2003 (21 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 19 Sep 2003 (21 years ago) |
| Document Number: | P02000046103 |
| Address: | 11555 HERON BAY BLVD 2ND FLOOR SUITE 16, CORAL SPRINGS, FL, 33076 |
| Mail Address: | 11555 HERON BAY BLVD 2ND FLOOR SUITE 16, CORAL SPRINGS, FL, 33076 |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952039562 | 2022-08-11 | 2022-08-11 | 2600 S DOUGLAS RD STE 308, CORAL GABLES, FL, 331346134, US | 37235 MEDICAL DR, DADE CITY, FL, 335255246, US | |||||||||||||||||||||||
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| Phone | +1 813-538-7880 |
| Fax | 3054421198 |
| Phone | +1 352-496-5823 |
| Fax | 3523454889 |
Authorized person
| Name | SANTIAGO MOISES MARTIN |
| Role | PRESIDENT OF CENTER OPERATIONS |
| Phone | 3059139441 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WALTERS RONALD J | Agent | 11555 HERON BAY BLVD 2ND FLOOR SUITE 16, CORAL SPRINGS, FL, 33076 |
| Name | Role | Address |
|---|---|---|
| EXARHOS TIMOTHY | Director | 5369 SW 34TH AVENUE, FT LAUDERDALE, FL, 33312 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2002-04-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
