| Entity Name: | SURAMED HEALTH CENTER PA |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
SURAMED HEALTH CENTER PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 22 Dec 2010 (14 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 31 Mar 2022 (3 years ago) |
| Document Number: | P10000102751 |
| FEI/EIN Number |
274373636
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2640 FOREST HLL BLVD, PALM SPRINGS, FL, 33406, US |
| Mail Address: | 2640 FOREST HILL BLVD., PALM SPRINGS, FL, 33406, US |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457957896 | 2020-12-10 | 2024-08-16 | 801 MEADOWS RD STE 118, BOCA RATON, FL, 334862346, US | 801 MEADOWS RD STE 116-118, BOCA RATON, FL, 334862346, US | |||||||||||||||||||||
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| Phone | +1 561-338-9615 |
| Fax | 5613389616 |
Authorized person
| Name | DR. ALFONSO J HENRIQUEZ |
| Role | PEDIATRICIAN |
| Phone | 5613389615 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009406904 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HENRIQUEZ ALFONSO J | President | 11683 Manatee Bay Ln, WELLINGTON, FL, 33449 |
| SILVA LINA P | President | 11683 Manatee Bay Ln, WELLINGTON, FL, 33449 |
| SILVA LINA P | Agent | 2640 FOREST HILL BLVD., PALM SPRINGS, FL, 33406 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000018423 | SURAMED HEALTH CENTER | ACTIVE | 2022-02-14 | 2027-12-31 | - | 3255 FOREST HILL BLVD, #107, WEST PALM BEACH, FL, 33406 |
| G18000117582 | PEDIATRIC CONSULTANTS | EXPIRED | 2018-10-31 | 2023-12-31 | - | 3255 FOREST HILL BLVD STE 107, WEST PALM BEACH, FL, 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-09 | 2640 FOREST HLL BLVD, PALM SPRINGS, FL 33406 | - |
| CHANGE OF MAILING ADDRESS | 2024-09-09 | 2640 FOREST HLL BLVD, PALM SPRINGS, FL 33406 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-09-09 | 2640 FOREST HILL BLVD., PALM SPRINGS, FL 33406 | - |
| NAME CHANGE AMENDMENT | 2022-03-31 | SURAMED HEALTH CENTER PA | - |
| REGISTERED AGENT NAME CHANGED | 2022-03-10 | SILVA, LINA P | - |
| AMENDMENT | 2011-04-18 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-11 |
| AMENDED ANNUAL REPORT | 2024-09-09 |
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-03-03 |
| Name Change | 2022-03-31 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-03-10 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-04-24 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
