| Entity Name: | STARLITE MEDICAL CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Nov 2011 (13 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 24 Apr 2018 (7 years ago) |
| Document Number: | P11000096018 |
| FEI/EIN Number | 45-3751311 |
| Address: | 8761 SW 8 STREET, UNIT 12, MIAMI, FL 33174 |
| Mail Address: | 8761 SW 8 STREET, UNIT 12, MIAMI, FL 33174 |
| ZIP code: | 33174 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457600835 | 2012-08-31 | 2012-08-31 | 3785 NW 82ND AVE, SUITE 109, DORAL, FL, 331666655, US | 3785 NW 82ND AVE, SUITE 109, DORAL, FL, 331666655, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 305-468-9373 |
| Fax | 3054689374 |
Authorized person
| Name | MR. RAUL HERNANDEZ |
| Role | PRESIDENT ADMINISTRATOR |
| Phone | 3054689373 |
Taxonomy
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| License Number | HCC9705 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AGENCY FOR HEALTH CARE ADMINISTRATION EXEMPTION |
| Number | HCC9705 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ, RAUL | Agent | 3785 NW 82 AVE #109, DORAL, FL 33166 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ, RAUL | President | 3785 NW 82 AVE #109, DORAL, FL 33166 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2018-04-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-24 | 8761 SW 8 STREET, UNIT 12, MIAMI, FL 33174 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-24 | 8761 SW 8 STREET, UNIT 12, MIAMI, FL 33174 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-04-21 |
| ANNUAL REPORT | 2019-03-07 |
| Amendment | 2018-04-24 |
| ANNUAL REPORT | 2018-02-22 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-03-12 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
