| Entity Name: | HOMESTEAD MEDICAL CLINIC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Sep 2005 (19 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 15 Jun 2012 (13 years ago) |
| Document Number: | P05000126046 |
| FEI/EIN Number | 113759938 |
| Address: | 43 NE 15 Street, HOMESTEAD, FL, 33030, US |
| Mail Address: | 43 NE 15 Street, HOMESTEAD, FL, 33030, US |
| ZIP code: | 33030 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487859245 | 2007-06-20 | 2014-10-22 | 43 N.E 15TH STREET, HOMESTEAD MEDICAL CLINIC, P.A, HOMESTEAD, FL, 33030, US | 43 NE 15TH ST, HOMESTEAD, FL, 330304506, US | |||||||||||||||||||||
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| Phone | +1 786-243-1909 |
| Fax | 7862434292 |
Authorized person
| Name | MARTA ISABEL DELGADO |
| Role | MD |
| Phone | 7862431909 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002281900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DELGADO MARTA I | Agent | 43 NE 15 Street, HOMESTEAD, FL, 33030 |
| Name | Role | Address |
|---|---|---|
| DELGADO MARTA I | President | 43 NE 15 Street, HOMESTEAD, FL, 33030 |
| Name | Role | Address |
|---|---|---|
| DELGADO MARTA I | Director | 43 NE 15 Street, HOMESTEAD, FL, 33030 |
| Name | Role | Address |
|---|---|---|
| DELGADO MARIA ILEANA M | Vice President | 14972 SW 173 Terrace, MIAMI, FL, 33187 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000127813 | HMC MEDICAL GROUP | EXPIRED | 2019-12-03 | 2024-12-31 | No data | 12039 SW 132RD CT, UNIT 31, MIAMI, FL, 33186 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-08 | 43 NE 15 Street, HOMESTEAD, FL 33030 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-08 | 43 NE 15 Street, HOMESTEAD, FL 33030 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-08 | 43 NE 15 Street, HOMESTEAD, FL 33030 | No data |
| AMENDMENT | 2012-06-15 | No data | No data |
| AMENDMENT | 2007-08-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2007-08-01 | DELGADO, MARTA I | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-02-18 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-01-09 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-02-02 |
| ANNUAL REPORT | 2016-03-02 |
| ANNUAL REPORT | 2015-03-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
