| Entity Name: | MIAMI-HIALEAH MEDICAL GROUP, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Oct 2003 (21 years ago) |
| Document Number: | P03000113436 |
| FEI/EIN Number | 200259442 |
| Address: | 777 EAST 25 TH. STREET SUITE 410, HIALEAH, FL, 33013, US |
| Mail Address: | 777 EAST 25 TH. STREET SUITE 410, HIALEAH, FL, 33013, US |
| ZIP code: | 33013 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689701302 | 2007-02-28 | 2020-08-22 | 1025 E 25TH ST, HIALEAH, FL, 330133703, US | 1025 E 25TH ST, HIALEAH, FL, 330133703, US | |||||||||||||||||||
|
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| Phone | +1 305-696-0842 |
| Fax | 3056962150 |
Authorized person
| Name | DR. MONICA GRINBERG |
| Role | MEDICAL DIRECTOR |
| Phone | 3056960842 |
Taxonomy
| Taxonomy Code | 2083X0100X - Occupational Medicine Physician |
| License Number | WAIVED |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GRINBERG MONICA | Agent | 777 EAST 25 TH. STREET SUITE 410, HIALEAH, FL, 33013 |
| Name | Role | Address |
|---|---|---|
| GRINBERG MONICA | President | 777 EAST 25 STREET SUITE 410, HIALEAH, FL, 33013 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-17 | 777 EAST 25 TH. STREET SUITE 410, HIALEAH, FL 33013 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-17 | 777 EAST 25 TH. STREET SUITE 410, HIALEAH, FL 33013 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-17 | 777 EAST 25 TH. STREET SUITE 410, HIALEAH, FL 33013 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-02-18 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-04-28 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-03-20 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-04-13 |
| ANNUAL REPORT | 2015-02-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
