Entity Name: | DOCTOR'S CHOICE MEDICAL CENTER, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 23 Jun 2008 (17 years ago) |
Document Number: | P08000060895 |
FEI/EIN Number | 262885612 |
Address: | 1160 Breakers West Way, WEST PALM BEACH, FL, 33411, US |
Mail Address: | 1160 Breakers West Way, WEST PALM BEACH, FL, 33411, US |
ZIP code: | 33411 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1780194464 | 2017-10-06 | 2018-05-23 | 4670 FOREST HILL BLVD, WEST PALM BEACH, FL, 334155640, US | 9164 S US HIGHWAY 1, PORT ST LUCIE, FL, 34952, US | |||||||||||||||||||||||||||||
|
Phone | +1 561-433-8900 |
Fax | 5614334117 |
Phone | +1 772-446-4066 |
Fax | 7723332949 |
Authorized person
Name | LISBEY FIGUEREDO |
Role | OFFICER MANAGER |
Phone | 5614338900 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
License Number | HCC11066 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | CLINIC |
Number | HCC8303 |
State | FL |
Name | Role | Address |
---|---|---|
MARCHENA IHOSVANY | Agent | 1160 Breakers West Way, WEST PALM BEACH, FL, 33411 |
Name | Role | Address |
---|---|---|
MARCHENA IHOSVANY | President | 1160 Breakers West Way, WEST PALM BEACH, FL, 33411 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-04-21 | 1160 Breakers West Way, WEST PALM BEACH, FL 33411 | No data |
CHANGE OF MAILING ADDRESS | 2024-04-21 | 1160 Breakers West Way, WEST PALM BEACH, FL 33411 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-04-21 | 1160 Breakers West Way, WEST PALM BEACH, FL 33411 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-21 |
ANNUAL REPORT | 2023-04-26 |
ANNUAL REPORT | 2022-02-06 |
ANNUAL REPORT | 2021-02-05 |
ANNUAL REPORT | 2020-06-04 |
ANNUAL REPORT | 2019-04-30 |
ANNUAL REPORT | 2018-03-14 |
ANNUAL REPORT | 2017-01-10 |
ANNUAL REPORT | 2016-02-09 |
ANNUAL REPORT | 2015-04-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State