| Entity Name: | PREMIUM HEALTH CARE MEDICAL CENTER INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Jul 2012 (13 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 02 Oct 2017 (7 years ago) |
| Document Number: | P12000060703 |
| FEI/EIN Number | 460628461 |
| Address: | 7000 SW 97TH AVENUE, #207, MIAMI, FL, 33173, US |
| Mail Address: | 7000 SW 97TH AVENUE, #207, MIAMI, FL, 33173, US |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366788002 | 2012-12-28 | 2012-12-28 | 8100 W FLAGLER ST #101-201, MIAMI, FL, 33144, US | 8100 W FLAGLER ST #101-201, MIAMI, FL, 33144, US | |||||||||||||||||||
|
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| Phone | +1 786-391-0411 |
| Fax | 7863910412 |
Authorized person
| Name | MRS. YAMILE RODRIGUEZ |
| Role | PRESIDENT |
| Phone | 7864910411 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | HCC9655 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CASTELLON KATHERINE | Agent | 7000 SW 97TH AVENUE, #207, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| CASTELLON KATHERINE | President | 7000 SW 97TH AVENUE #207, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| HAWKINS MARILYN | Vice President | 7000 SW 97TH AVENUE #207, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-30 | 7000 SW 97TH AVENUE, #207, MIAMI, FL 33173 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-30 | CASTELLON, KATHERINE | No data |
| CHANGE OF MAILING ADDRESS | 2017-10-13 | 7000 SW 97TH AVENUE, #207, MIAMI, FL 33173 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-10-13 | 7000 SW 97TH AVENUE, #207, MIAMI, FL 33173 | No data |
| AMENDMENT | 2017-10-02 | No data | No data |
| REINSTATEMENT | 2015-10-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| AMENDMENT | 2014-02-10 | No data | No data |
| AMENDMENT | 2014-01-21 | No data | No data |
| REINSTATEMENT | 2014-01-13 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-05-21 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| Amendment | 2017-10-02 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-01-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
