| Entity Name: | HEALTHPARK MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Dec 2004 (20 years ago) |
| Document Number: | P04000173302 |
| FEI/EIN Number | 202085998 |
| Address: | 2853 EXECUTIVE PARK DR, SUITE 104, WESTON, FL, 33331, US |
| Mail Address: | 2853 EXECUTIVE PARK DR, SUITE 104, WESTON, FL, 33331, US |
| ZIP code: | 33331 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306387303 | 2017-03-10 | 2017-03-10 | 2300 N COMMERCE PKWY, SUITE 321, WESTON, FL, 333263254, US | 2300 N COMMERCE PKWY, SUITE 321, WESTON, FL, 333263254, US | |||||||||||||
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| Phone | +1 954-573-5464 |
Authorized person
| Name | FEDERICO MARTINEZ |
| Role | OWNER |
| Phone | 9545735464 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTINEZ FEDERICO J | Agent | 2853 EXECUTIVE PARK DR, WESTON, FL, 33331 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ FEDERICO | President | 2853 EXECUTIVE PARK DRIVE, WESTON, FL, 33331 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-22 | 2853 EXECUTIVE PARK DR, SUITE 104, WESTON, FL 33331 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-22 | 2853 EXECUTIVE PARK DR, SUITE 104, WESTON, FL 33331 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-22 | 2853 EXECUTIVE PARK DR, SUITE 104, WESTON, FL 33331 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-21 | MARTINEZ, FEDERICO J | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-22 |
| Reg. Agent Change | 2023-05-15 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-06-18 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-14 |
| ANNUAL REPORT | 2016-01-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
