| Entity Name: | SMC MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 19 Sep 2003 (21 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 08 Dec 2003 (21 years ago) |
| Document Number: | P03000103298 |
| FEI/EIN Number | 200246050 |
| Address: | 11373 SW 211 ST., #16, MIAMI, FL, 33189 |
| Mail Address: | 9780 E. Indigo Street, PALMETTO BAY, FL, 33157, US |
| ZIP code: | 33189 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346327848 | 2006-11-01 | 2017-03-13 | 9780 E INDIGO ST STE 202, PALMETTO BAY, FL, 331575610, US | 11373 SW 211TH ST STE 16, MIAMI, FL, 331892247, US | |||||||||||||||||||||||||
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| Phone | +1 305-252-9485 |
| Fax | 3052529486 |
| Phone | +1 305-234-0009 |
| Fax | 3052348688 |
Authorized person
| Name | MR. RAYMOND LEVY |
| Role | PRESIDENT |
| Phone | 3052529485 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016833600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEVY RAYMOND | Agent | 9780 E. Indigo Street, PALMETTO BAY, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| LEVY RAYMOND | President | 9780 E. Indigo Street, PALMETTO BAY, FL, 33157 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ HENRIETTA | Chief Financial Officer | 9780 E. Indigo Street, PALMETTO BAY, FL, 33157 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000007985 | NORA DANIEL MD PA | EXPIRED | 2016-01-21 | 2021-12-31 | No data | 9780 E INDIGO STREET, SUITE 202, PALMETO BAY, FL, 33157 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-04-22 | 11373 SW 211 ST., #16, MIAMI, FL 33189 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-22 | 9780 E. Indigo Street, #202, PALMETTO BAY, FL 33157 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-01-14 | LEVY, RAYMOND | No data |
| AMENDMENT | 2003-12-08 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-13 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-01-23 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-21 |
| ANNUAL REPORT | 2017-03-28 |
| ANNUAL REPORT | 2016-04-13 |
| ANNUAL REPORT | 2015-03-23 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
