| Entity Name: | L.S.L. MEDICAL CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Aug 2009 (15 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 30 Nov 2017 (7 years ago) |
| Document Number: | P09000068175 |
| FEI/EIN Number | 270735113 |
| Address: | 4640 W FLAGLER ST, MIAMI, FL, 33134, US |
| Mail Address: | 4640 W FLAGLER ST, MIAMI, FL, 33134, US |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861738197 | 2012-12-13 | 2022-07-21 | 7175 SW 8TH ST STE 213, MIAMI, FL, 331444674, US | 4640 W FLAGLER ST, CORAL GABLES, FL, 331341513, US | |||||||||||||||||||||||
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| Phone | +1 305-443-8229 |
| Fax | 3054438230 |
Authorized person
| Name | MR. OSMEL MARTINEZ |
| Role | VP |
| Phone | 3054438229 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | HCC8617 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTINEZ OSMEL | Agent | 4640 W FLAGLER ST, MIAMI, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ OSMEL | President | 4640 W FLAGLER ST, MIAMI, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ ANNIA | Vice President | 4640 W FLAGLER ST, MIAMI, FL, 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2017-11-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-11-30 | MARTINEZ, OSMEL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-06-12 | 4640 W FLAGLER ST, MIAMI, FL 33134 | No data |
| AMENDMENT | 2017-06-12 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-06-12 | 4640 W FLAGLER ST, MIAMI, FL 33134 | No data |
| CHANGE OF MAILING ADDRESS | 2017-06-12 | 4640 W FLAGLER ST, MIAMI, FL 33134 | No data |
| AMENDMENT | 2014-10-01 | No data | No data |
| AMENDMENT | 2014-07-01 | No data | No data |
| AMENDMENT | 2012-11-02 | No data | No data |
| AMENDMENT | 2012-07-05 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-05-03 |
| ANNUAL REPORT | 2021-05-13 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-03-15 |
| ANNUAL REPORT | 2018-04-26 |
| Amendment | 2017-06-12 |
| ANNUAL REPORT | 2017-03-22 |
| ANNUAL REPORT | 2016-02-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
