| Entity Name: | IRIARTE PRIMARY CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 29 Aug 2013 (11 years ago) |
| Document Number: | P13000071896 |
| FEI/EIN Number | 46-3605576 |
| Address: | 1840 WEST 49TH STREET, STE 425, HIALEAH, FL 33012 |
| Mail Address: | 1840 WEST 49TH STREET, STE 425, HIALEAH, FL 33012 |
| ZIP code: | 33012 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922433739 | 2013-09-11 | 2023-06-05 | 429 NW 130TH AVE, MIAMI, FL, 331821143, US | 1840 W 49TH ST STE 425, HIALEAH, FL, 330122978, US | |||||||||||||||||||
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| Phone | +1 305-781-4815 |
| Phone | +1 305-982-7914 |
Authorized person
| Name | DR. MANRIQUE OSCAR IRIARTE |
| Role | PRESIDENT |
| Phone | 3059827914 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME116904 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| IRIARTE, MANRIQUE O | Agent | 429 NW 130 AVE, Miami, FL 33182 |
| Name | Role | Address |
|---|---|---|
| MANRIQUE, IRIARTE O | President | PO BOX 942526, MIAMI, FL 33194 |
| Name | Role |
|---|---|
| BARBARA TORRES, LLC | Vice President |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000138737 | CLINICAS IRIARTE | ACTIVE | 2023-11-13 | 2028-12-31 | No data | 1840 WEST 49TH STREET, STE 425, HIALEAH, FL, 33012 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-07 | 1840 WEST 49TH STREET, STE 425, HIALEAH, FL 33012 | No data |
| CHANGE OF MAILING ADDRESS | 2023-06-07 | 1840 WEST 49TH STREET, STE 425, HIALEAH, FL 33012 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-30 | 429 NW 130 AVE, Miami, FL 33182 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-02-09 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
